Individual
JOHN SEWELL GEROMETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W HOMER ST, ST ANTHONY MEMORIAL HOSPITAL, MICHIGAN CITY, IN 46360-4358
(219) 861-8669
(219) 877-1081
Mailing address
113 E 4TH ST, MICHIGAN CITY, IN 46360-3301
(219) 879-2208
(219) 873-3131
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01040073A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017120002
CIGNA
IN
01
—
5260529
CCN
IN
01
—
82425
BC/BS
IN
Enumeration date
08/25/2005
Last updated
03/28/2008
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