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Individual

DR. EVAN ANDREW RUSOJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1411 E 31ST ST, QIC 2212, OAKLAND, CA 94602-1018
(510) 437-4564
Mailing address
1411 E 31ST ST, QIC 2212, OAKLAND, CA 94602-1018
(510) 437-4564

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A155678
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2016
Last updated
03/14/2019
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