License holder summary

Anastas Constantine Provatas is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Anastas Constantine Provatas is Mesaba Clinics, 3605 Mayfair Ave, Hibbing, MN 55746. This doctor license is current. The license was granted 05/14/2011 and expired on 09/30/2015.

Department of Safety and Professional Services

Board of Medical Practice

Anastas Constantine Provatas
Medical - Physician And Surgeon
License number
53967
Date granted
05/14/2011
Date expires
09/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Mesaba Clinics, 3605 Mayfair Ave, Hibbing, MN 55746
doctorsminnesota.org
ID 22281513
LAST UPDATED 2026-05-24 23:43:35 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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