Dr. Terence Michael Myckatyn
Surgery of the Hand Plastic and Reconstructive Surgery
1020 N Mason Rd Div Surg Plastics, Mob 3 Ste 110
Saint Louis
, Missouri 63141-6666
Dr. Terence Michael Myckatyn
Surgery of the Hand Plastic and Reconstructive Surgery
1020 N Mason Rd Div Surg Plastics, Mob 3 Ste 110
Saint Louis
, Missouri 63141-6666
(314) 367-0225
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About
Features
Specialties
- Surgery of the Hand
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Terence Michael Myckatyn
- 660 S Euclid Ave Msc 8238-43-1150
- Saint Louis, MO
- Zip : 63110-1010
- Fax : (314) 367-0225
- Phone : (314) 362-7388
Second Address
- Dr. Terence Michael Myckatyn
- 1020 N Mason Rd Div Surg Plastics, Mob 3 Ste 110
- Saint Louis, MO
- Zip : 63141-6666
- Fax : (314) 367-0225
- Phone : (314) 362-7388
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0105X | Surgery of the Hand | 2000173749 | MO |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 2000173749 | MO |
National Provider Identifier
| NPI | 1598781718 |
|---|---|
| Provider Name | Dr. Terence Michael Myckatyn |
| First Address | Saint Louis, MO 63110-1010 |
| Second Address | Saint Louis, MO 63141-6666 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 15/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 207820606 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.