Individual
ANDREW JAMES SICKBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 COWAN DR, LEBANON, MO 65536-4629
(417) 532-2805
(417) 532-2848
Mailing address
755 COWAN DR, LEBANON, MO 65536-4629
(417) 532-2805
(417) 532-2848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2026003233
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
02/05/2026
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