Individual
SUSAN ANNE EDNA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Mailing address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1034-25
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2010
Last updated
09/04/2013
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