Search › Arizona › 225100000X
Ethan Mychajlonka
NPI 1841186541 · on the registry since 2025
Practice
- Address
- 18561 N 59th Ave
Glendale, AZ 85308 - Phone
- (602) 313-4089
- Fax
- (623) 322-0664
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-17
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 Arizona