IndividualActive
Ian Mutchnick, MD
NPI 1295954386 · Neurological Surgery Physician · Louisville, KY
Provider details
- NPI number
- 1295954386
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 095567 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
210 E Gray St
Suite 1102
Louisville, KY 40202-3900
Phone: (502) 583-1697
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776879
Chicago, IL 60677-6879
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.