Individual
DR. COLIN MYCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1165 IMPERIAL DR STE 102, HAGERSTOWN, MD 21740-6555
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
202103319
NC
207Q00000X
Family Medicine Physician
Primary
H0100176
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
H0100176
MD
Other
Enumeration date
06/17/2016
Last updated
03/27/2026
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