Individual
DR. IOANNIS DIMITRIOS XENIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
701 SUPERIOR AVE STE 4100, MUNSTER, IN 46321-4037
(219) 934-4080
(219) 934-4075
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02003211A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200974840
—
IN
Enumeration date
11/29/2006
Last updated
12/15/2025
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