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Search › Missouri › General Practice Physician

Andrew Ninichuck, M.D

NPI 1609841956 · on the registry since 2006 · sole proprietor

Practice

Address
527 Benham St
Bonne Terre, MO 63628
Phone
(573) 358-9119
Fax
(573) 358-9489
Organisation at this address
Primary Care Of Bonne Terre Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Physician
208D00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri