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Individual

ASHLEY E MYCHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
4 GLEN COVE DR STE 205, ROCKPORT, ME 04856-4237
(207) 301-5700
(207) 301-5370
Mailing address
4 GLEN COVE DR STE 205, ROCKPORT, ME 04856-4237
(207) 301-5700
(207) 301-5370

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
36-003866
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD1109
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0262019
OH
Enumeration date
06/20/2013
Last updated
03/06/2025
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