Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDREW JOHN NINICHUCK, M.D.
Active Sole ProprietorMR. ANDREW JOHN NINICHUCK, M.D. is a General Practice healthcare provider located in BONNE TERRE, Missouri. NPI 1609841956 is currently active in the NPPES registry. Verify at CMS.
General Practice · BONNE TERRE, MO
Registration Details
- NPI Number
- 1609841956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2006 (20.296137232375 yrs)
- Last Updated
- Nov 10, 2015
- License
-
102387 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
527 BENHAM STBONNE TERRE, MO, 636281205Browse MO providers · Browse ZIP 63628
- Phone
- 5733589119
- Fax
- 5733589489
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.