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Dr. Terence Michael Myckatyn, MD
Plastic and Reconstructive Surgery Physician in Saint Louis, Missouri
NPI 1598781718

Terence Michael Myckatyn is a Plastic and Reconstructive Surgery Physician based in Saint Louis, MO and is specialized in Plastic and Reconstructive Surgery. Terence Michael Myckatyn practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Terence Michael Myckatyn is 1598781718 and holds a License No. 2000173749 (Missouri).

The current practice location address for Terence Michael Myckatyn is 1020 N Mason Rd, Saint Louis, MO and can be reached out via phone at 314-362-7388 and via fax at 833-301-0853.

Location: 1020 N Mason Rd, Saint Louis, MO, 63160-0352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598781718
Provider Name
Terence Michael Myckatyn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1020 N Mason Rd, Saint Louis, MO, 63160-0352
Phone Number
314-362-7388
Fax Number
833-301-0853
Provider Enumeration Date
07/14/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207820606 05 MO
institution
Provider Business Practice Location Address Details
Address
1020 N Mason Rd
City
Saint Louis
State
Missouri
Zip
63141-6666
Phone Number
314-362-7388
Fax Number
833-301-0853
person
Provider Business Mailing Address Details
Address
1020 N Mason Rd
City
Saint Louis
State
Missouri
Zip
63141-6666
Phone Number
314-362-7388
Fax Number
833-301-0853
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
2000173749 (Missouri)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
2000173749 (Missouri)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
2000173749 (Missouri)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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