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Search › Missouri › 2086S0122X

Terence Myckatyn, MD

NPI 1598781718 · on the registry since 2006

Practice

Address
1020 N Mason Rd
Div Surg Plastics, Mob 3 Ste 110
Saint Louis, MO 63141
Phone
(314) 362-7388
Fax
(833) 301-0853
Clinicians at this address
25

Registry record

Primary taxonomy
2086S0122X
2086S0122X
Also registered as
2082S0099X
2086S0105X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri