JOHN M DIVERIS

MERRILLVILLE, IN
NPI1831198324
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IN  01040065A)
Enumeration Date2005-07-18
Last Update Date2012-08-27
Business Address
-- JOHN M DIVERIS MD
333 W 89TH AVE SUITE W5
MERRILLVILLE, IN 46410-7073
Phone number: 219-755-4448
Mailing Address
-- JOHN M DIVERIS MD
333 W 89TH AVE SUITE W5
MERRILLVILLE, IN 46410-7073
Phone number: 219-755-4448