Mychaliska, George Boris

Mychaliska, George Boris is an individual health care provider with primary practice located at 1500 E Medical Center Dr Fl 4 , Ann Arbor MI 48109-5000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Mychaliska, George Boris can be contacted via phone (734) 936-4000.

Contact Information

Primary practice address
1500 E Medical Center Dr Fl 4 Ann Arbor MI 48109-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301074649 Michigan
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 4301074649 Michigan

Profile Details

NPI number 1881796118
LBN Legal business name Mychaliska, George Boris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Nov 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881796118 NPPES
Michigan MEDICAID 4677482

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