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Individual

CHAD EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
43033 FORD RD, CANTON, MI 48187-3375
(734) 927-5050
Mailing address
4060 ROCHESTER RD, TROY, MI 48085-4923

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
363A00000X
Physician Assistant
Primary
5601009969
MI

Other

Enumeration date
10/03/2016
Last updated
08/20/2020
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