Individual
JOHN D ANDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 GETTLER ST STE 400, DYER, IN 46311-2385
(219) 865-0893
(219) 865-3599
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
01052131A
IN
207RC0000X
Cardiovascular Disease Physician
036.098996
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01052131A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
036.098996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200261940
—
IN
Enumeration date
11/10/2005
Last updated
02/15/2023
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