Individual
JOHN C SORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 676-4102
Mailing address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 676-4715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113970A
—
IN
05
—
204482806
—
MO
Enumeration date
06/15/2005
Last updated
09/26/2024
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