Individual
DR. EVAN KENNETH FITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 E STOP 11 RD STE 250, INDIANAPOLIS, IN 46237-6343
(317) 528-2270
(317) 528-2286
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
01078021A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
34090
OK
Other
Enumeration date
06/05/2012
Last updated
07/20/2023
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