Individual
DR. KATIE R EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
616 9TH ST N, VIRGINIA, MN 55792-2320
(218) 749-3818
(218) 749-3874
Mailing address
616 9TH ST N, VIRGINIA, MN 55792-2320
(218) 749-3818
(218) 749-3874
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
908
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114351376
—
MN
Enumeration date
08/23/2013
Last updated
09/21/2018
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