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Individual

EVAN BEVOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4601
Mailing address
1427 SOUTHERN AVE, KALAMAZOO, MI 49001-4334
(406) 581-8634

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006478
MI

Other

Enumeration date
09/20/2012
Last updated
09/20/2012
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