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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHRISTINA MARIE MIMIKOS, D.O.

Active

CHRISTINA MARIE MIMIKOS, D.O. is a Facial Plastic Surgery healthcare provider located in PORTLAND, Maine. NPI 1093944258 is currently active in the NPPES registry. Verify at CMS.

Facial Plastic Surgery · PORTLAND, ME

Registration Details

NPI Number
1093944258
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2009 (17.109775559406 yrs)
Last Updated
Oct 19, 2018
Licenses
2016017553 (MO)
5101018354 (MI)

Practice Information

Address
1250 FOREST AVE STE 301
PORTLAND, ME, 04103
Browse ME providers · Browse ZIP 04103
Phone
2077975753
Primary Specialty
Facial Plastic Surgery
207YX0905X
Additional Specialty
Facial Plastic Surgery

Other Facial Plastic Surgery Providers in PORTLAND, ME

Name Credential NPI
CHRISTOPHER B MURRY D.O 1174511158
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.