JOHNNY LEE GERARDOT

GRANGER, IN
NPI1336673037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01084004A)
Enumeration Date2017-04-19
Last Update Date2023-05-01
Business Address
Dr. JOHNNY LEE GERARDOT MD
6913 N MAIN ST STE 300
GRANGER, IN 46530-8039
Phone number: 574-647-1500
Mailing Address
Dr. JOHNNY LEE GERARDOT MD
3245 HEALTH DRIVE SUITE 100
GRANGER, IN 46530-3245
Phone number: 574-647-1840