Individual
DR. ANDREW MCNICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 COSHOCTON AVE STE C, MOUNT VERNON, OH 43050-1440
(740) 393-9866
Mailing address
853 TAPESTRY DR APT 204, LEWIS CENTER, OH 43035-7817
(330) 303-3051
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
35.144842
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
03/22/2017
Last updated
10/04/2022
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