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Individual

MR. MICHAEL ALEXANDER LYPKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DMD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0436704
KS
208200000X
Plastic Surgery Physician
Primary
2013022097
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265687719
BCBS
TX
05
216246301
TX
01
216246302
CSHCN
TX
01
8CQ053
BCBS
TX
Enumeration date
11/25/2008
Last updated
08/09/2013
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