Individual provider · Type 1 NPI
Andrew John Ninichuck, MD
General Practice Physician · Bonne Terre, MO
NPI number
1609841956
Active
Practice location
527 Benham St
Bonne Terre, MO 63628-1205
Fax (573) 358-9489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 102387 (MO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
About NPI 1609841956
Andrew John Ninichuck, MD's National Provider Identifier is 1609841956, issued on Feb 21, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bonne Terre, MO. The record was last updated on Nov 10, 2015.