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Contact Information

ANDREA N MYTYCH, PA-C
4201 SAINT ANTOINE ST
SUITE 3R
DETROIT, MI48201-2153
 Phone: 313-745-3330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANDREA N MYTYCH · (Female)

NPI # 1013100643
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/27/2007
Last updated 02/25/2011 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601005026
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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