Individual
ALEXIS MIA DIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25950 DIXIE HWY STE 400, PERRYSBURG, OH 43551-2983
(567) 585-0010
(567) 225-3490
Mailing address
25950 DIXIE HWY STE 400, PERRYSBURG, OH 43551-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008598RX
OH
363A00000X
Physician Assistant
5601012276
MI
Other
Enumeration date
12/14/2022
Last updated
05/12/2026
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