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Individual

DR. JOHN JOSEPH POMPONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
333 W 89TH AVE STE W5, MERRILLVILLE, IN 46410-7050
(219) 662-2279
(855) 742-9438
Mailing address
333 W 89TH AVE STE W5, MERRILLVILLE, IN 46410-7050
(219) 662-2279
(855) 742-9438

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02003900A
IN
282N00000X
General Acute Care Hospital
5101016950
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201031840
IN
Enumeration date
04/23/2007
Last updated
02/15/2022
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