MR. Andrew John Ninichuck, M.D.

NPI #1609841956 in Bonne Terre, Missouri

Provider Information

NPI Number: 1609841956
Entity Type: Individual
Name: MR. Andrew John Ninichuck, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Feb 21, 2006
Last Updated: Nov 10, 2015

Practice Location

Address: 527 BENHAM ST
City: Bonne Terre
State: Missouri
ZIP Code: 63628-1205
Phone: (573) 358-9119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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