Individual
DR. JOHN JOSEPH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
(701) 234-2345
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
17572
ND
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
10212229-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
70789
WI
208600000X
Surgery Physician
6857
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093079709
—
WI
Enumeration date
06/27/2012
Last updated
04/18/2022
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