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Individual

XABIER BERISTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2138 25TH ST STE F, COLUMBUS, IN 47201-3241
(812) 376-3100
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01048980A
IN
2084N0400X
Neurology Physician
ME129295
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
MD19031
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200345820
IN
Enumeration date
07/05/2005
Last updated
09/09/2024
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