Mr. Andrew John Ninichuck, MD
Mr. Andrew John Ninichuck, MD is a General Practice in Bonne Terre, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 1991, 35 years ago. Practices with Washington County Memorial Hospital, a 23-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 35
- Trained at
- University of Missouri, Columbia School of Medicine
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
527 Benham StBonne Terre, MO 63628-1205
Phone: (573) 358-9119
Fax: (573) 358-9489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 102387 (MO) |
|---|
Record details
| NPI number | 1609841956 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | February 21, 2006 |
| Last updated in NPPES | November 10, 2015 |
| Mailing address | 527 Benham St, Bonne Terre, MO 63628-1205 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduated | 1991 (35 years in practice) |
| Group practice | Washington County Memorial Hospital — 23 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Bonne Terre
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Primary Care of Bonne Terre LLC
527 Benham St, Bonne Terre, MO 63628-1205 · (573) 358-9119