Individual
JOHN M GORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 UNITY PL STE 310, LAFAYETTE, IN 47905-5769
(765) 446-5210
(765) 446-5211
Mailing address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(317) 228-7000
(317) 228-2321
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01046921A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200146050
—
IN
Enumeration date
03/15/2006
Last updated
06/24/2025
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