Individual
ANDREA LEE HANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W NIFONG BLVD STE 100, COLUMBIA, MO 65203-5615
(573) 214-2000
Mailing address
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, 660 SOUTH EUCLID AVENUE, CB 8115, SAINT LOUIS, MO 63110
(314) 362-7509
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2020017655
MO
207YS0123X
Facial Plastic Surgery Physician
Primary
2020017655
MO
Other
Enumeration date
04/20/2015
Last updated
08/05/2021
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