Provider Demographics
NPI:1427750645
Name:RICKELMANN, ANDREW DOMINICK (MD, MS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DOMINICK
Last Name:RICKELMANN
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:RICKELMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:509 BILTMORE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4601
Mailing Address - Country:US
Mailing Address - Phone:828-771-4229
Mailing Address - Fax:828-213-1448
Practice Address - Street 1:509 BILTMORE AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4601
Practice Address - Country:US
Practice Address - Phone:828-771-4229
Practice Address - Fax:828-213-1448
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program