Individual
DR. JOHN JOSEPH EVANS
Active
Individual
DR. JOHN JOSEPH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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