person
Ms. Mindi N Valuckas, PA-C
Surgical Physician Assistant in Randallstown, Maryland
NPI 1053372664

Mindi N Valuckas is a Surgical Physician Assistant based in Randallstown, MD and is specialized in Surgical. Mindi N Valuckas practices in Randallstown, MD and has the professional credentials of PA-C. The NPI Number for Mindi N Valuckas is 1053372664 and holds a License No. C0002486 (Maryland).

The current practice location address for Mindi N Valuckas is 5401 Old Court Rd, Randallstown, MD and can be reached out via phone at 410-521-2200.

Location: 5401 Old Court Rd, Randallstown, MD, 21133-5103
person
Provider Profile Details
NPI Number
1053372664
Provider Name
Mindi N Valuckas
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5401 Old Court Rd, Randallstown, MD, 21133-5103
Phone Number
410-521-2200
Fax Number
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN6601 01 MD R/R MEDICARE GROUP #
P00370888 01 MD R/R MEDICARE PROVIDER #
institution
Provider Business Practice Location Address Details
Address
5401 Old Court Rd
City
State
Zip
21133-5103
Phone Number
410-521-2200
Fax Number
person
Provider Business Mailing Address Details
Address
5401 Old Court Rd
City
State
Zip
21133-5103
Phone Number
410-521-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C0002486 (Maryland)
Definition
Definition to come...
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