NPI 1093944258

Christina Marie Mimikos, DO

Practitioner Otolaryngology/Facial Plastic Surgery Physician Portland, ME

Practice location

Address: 1250 Forest Ave STE 301, Portland, ME 04103
Phone: (207) 797-5753
Mailing address: 1250 Forest Ave STE 301, Portland, ME 04103-1884

Registered specialties (2)

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 2016017553 (MO)

Other Otolaryngology providers in Maine →

Otolaryngology/Facial Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 5101018354 (MI)

Registry record

NPI: 1093944258
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2009
Record last updated: 19 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.