# JOHN J MYTYCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457452476
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016005082 | IL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 10140276-0501 | UT | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 3271756 | ID | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 06/17/2025