Individual
ADRIAN MICHAEL DANCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
228 W 4TH ST STE 200, COOKEVILLE, TN 38501-2489
(931) 372-0405
(931) 372-0463
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 372-0405
(931) 372-0463
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
53777
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53777
MEDICAL LICENSE
TN
05
—
Q036399
—
TN
Enumeration date
07/20/2005
Last updated
10/25/2023
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