Individual provider · Type 1 NPI
Christina Marie Mimikos, DO
Otolaryngology/Facial Plastic Surgery Physician · Portland, ME
NPI number
1093944258
Active
Practice location
1250 Forest Ave Ste 301
Portland, ME 04103
Other practice locations
- 1229 E Seminole St, Suite 520, Springfield, MO 65804-2227 · (417) 820-5750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 2016017553 (MO) |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101018354 (MI) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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About NPI 1093944258
Christina Marie Mimikos, DO's National Provider Identifier is 1093944258, issued on Jul 9, 2009. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Portland, ME. The record was last updated on Oct 19, 2018.