Individual
DR. ANDREA SUZANNE NIKONCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6707 POWERS BLVD, STE 203, PARMA, OH 44129-5455
(440) 845-1500
(440) 845-9227
Mailing address
6707 POWERS BLVD STE 203, PARMA, OH 44129-5464
(440) 845-1500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35062599
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0848579
—
OH
05
—
1730284241
—
OH
Enumeration date
09/13/2006
Last updated
12/15/2020
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