person
Dimitrios N Minadakis, PA-C
Medical Physician Assistant in South Yarmouth, Massachusetts
NPI 1063852085

Dimitrios N Minadakis is a Medical Physician Assistant based in South Yarmouth, MA and is specialized in Medical. Dimitrios N Minadakis practices in South Yarmouth, MA and has the professional credentials of PA-C. The NPI Number for Dimitrios N Minadakis is 1063852085 and holds a License No. 1916 (Massachusetts).

The current practice location address for Dimitrios N Minadakis is 495 Station Ave, South Yarmouth, MA and can be reached out via phone at 774-552-3208 and via fax at 320-202-8949. You can also correspond with Dimitrios N Minadakis through the mailing address at 16 JANICE RD, SOUTH YARMOUTH, MA - 02664-2935 (mailing address contact number: 320-291-3184).

Location: 495 Station Ave, South Yarmouth, MA, 02664-2935
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Provider Profile Details
NPI Number
1063852085
Provider Name
Dimitrios N Minadakis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
495 Station Ave, South Yarmouth, MA, 02664-2935
Phone Number
774-552-3208
Fax Number
320-202-8949
Provider Enumeration Date
07/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063852085 05 MN
institution
Provider Business Practice Location Address Details
Address
495 Station Ave
City
State
Zip
02664-1218
Phone Number
774-552-3208
Fax Number
320-202-8949
person
Provider Business Mailing Address Details
Address
495 Station Ave
City
State
Zip
02664-1218
Phone Number
774-552-3208
Fax Number
320-202-8949
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1916 (Minnesota)
Definition
Definition to come...
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