Individual
DR. ANDREI V. MANILCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-7171
(614) 366-0003
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7171
(614) 366-0003
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35082381
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2405221
—
OH
Enumeration date
05/18/2006
Last updated
01/07/2021
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