Individual
DR. MICHELLE K EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
805 W BROADWAY AVE, MEDFORD, WI 54451-1307
(715) 748-2334
(715) 748-1124
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
(715) 848-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3911
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000335789
BCBS SMART VALUE
WI
05
—
38945000
—
WI
01
—
610537900
US DEPARTMENT OF LABOR
WI
01
—
99315
SECURITY HEALTH PLAN
WI
Enumeration date
06/05/2006
Last updated
07/21/2022
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