Individual
DR. ANDRE J NOLEWAJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD; M.CL.SC
Contact information
Practice address
7001 ROGERS AVE, STE 401, FORT SMITH, AR 72903-4073
(479) 314-4650
(479) 452-9459
Mailing address
PO BOX 10570, FORT SMITH, AR 72917-0570
(479) 314-4650
(479) 452-9459
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
R2997
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078200A
—
OK
05
—
105850001
—
AR
01
—
119173
DEPT OF LABOR
—
01
—
14059000040
QUALCHOICE
—
01
—
29730300
BLACK LUNG
—
01
—
53875
MEDICARE, ARK BC, FED BC
—
01
—
60014634
TRAVELERS M/C R/R
—
01
—
A002
TRICARE
—
Enumeration date
06/13/2005
Last updated
07/01/2013
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