Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TERENCE MICHAEL MYCKATYN, MD
ActiveDR. TERENCE MICHAEL MYCKATYN, MD is a Plastic and Reconstructive Surgery healthcare provider located in SAINT LOUIS, Missouri. NPI 1598781718 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1598781718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2006 (20.05653964379 yrs)
- Last Updated
- Apr 17, 2025
- Licenses
-
2000173749 (MO)2000173749 (MO)2000173749 (MO)
Practice Information
- Address
-
1020 N MASON RDDIV SURG PLASTICS, MOB 3 STE 110SAINT LOUIS, MO, 631416666Browse MO providers · Browse ZIP 63141
- Phone
- 3143627388
- Fax
- 8333010853
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Surgery of the Hand
- Additional Specialty
- Plastic and Reconstructive Surgery
Other Plastic and Reconstructive Surgery Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES DAVID ETTELSON | M.D. | 1255332904 |
| JOHN B HOLDS | MD | 1134117732 |
| DR. KAMLESH B PATEL | MD | 1790766186 |
| DR. KEITH ERIC BRANDT | MD | 1386661916 |
| DR. THOMAS H TUNG | MD | 1851318398 |
| DR. IDA KEIKO FOX | MD | 1629099031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.