Individual
WHITNEY A EVAVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 E 28TH ST, SUITE 190, MINNEAPOLIS, MN 55407-1139
(612) 863-1893
(612) 863-3809
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36526
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
849322700
—
MN
Enumeration date
04/07/2006
Last updated
10/12/2011
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