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Individual

JOHN M GORUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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