Individual
MR. NATHAN MYCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
157 BALTIMORE ST STE 100, CUMBERLAND, MD 21502-2472
(301) 722-0484
(833) 903-0130
Mailing address
157 BALTIMORE ST STE 100, CUMBERLAND, MD 21502-2472
(301) 722-0484
(833) 903-0130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
057046
PA
363A00000X
Physician Assistant
2552
OK
363A00000X
Physician Assistant
C0004713
MD
Other
Enumeration date
02/02/2012
Last updated
02/25/2026
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