Individual
ALFRED LAMBERT BONJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 E 86TH AVE, STE C, MERRILLVILLE, IN 46410-6267
(219) 769-4835
(219) 769-5816
Mailing address
101 E 87TH AVE, MERRILLVILLE, IN 46410-7335
(219) 769-4835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01024800A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084012
ANTHEM
—
05
—
100167330
—
IN
Enumeration date
03/09/2006
Last updated
03/09/2015
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