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

ETHAN EVANKOW, PA

Active

Medical Physician Assistant · DOVER FOXCROFT, ME

Registration Details

NPI Number
1528580966
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2017 (8.791378074666 yrs)
Last Updated
Jul 22, 2025
Licenses
055.0031348 (VT)
PA1241 (ME)
PA1241 (ME)

Practice Information

Address
897 W MAIN ST
DOVER FOXCROFT, ME, 044261029
Browse ME providers · Browse ZIP 04426
Phone
2075648401
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in DOVER FOXCROFT, ME

Name Credential NPI
JOANNE REINIGER PAC 1205936606
CRYSTAL LEE MACCLINTOCK RPA-C 1700024783
DR. ERIN JEANETTE MILLER PA-C 1194102327
BRITTANY HACKETT PA-C 1104549229
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.