John M Diveris, MD

NPI #1831198324 in Merrillville, Indiana

Provider Information

NPI Number: 1831198324
Entity Type: Individual
Name: John M Diveris, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Jul 18, 2005
Last Updated: Aug 27, 2012

Practice Location

Address: 333 W 89TH AVE
Address 2: SUITE W5
City: Merrillville
State: Indiana
ZIP Code: 46410-7073
Phone: (219) 755-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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