DR. Johnny Lee Gerardot JR., MD

NPI #1336673037 in Granger, Indiana

Provider Information

NPI Number: 1336673037
Entity Type: Individual
Name: DR. Johnny Lee Gerardot JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 19, 2017
Last Updated: Aug 6, 2025

Practice Location

Address: 6913 N MAIN ST
Address 2: STE 300
City: Granger
State: Indiana
ZIP Code: 46530-8039
Phone: (574) 647-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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