Individual
MICHAEL R EVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
425 N MAIN ST, MUNROE FALLS, OH 44262
(330) 688-4942
(330) 688-9064
Mailing address
PO BOX 216, 425 N MAIN ST, MUNROE FALLS, OH 44262
(330) 688-4942
(330) 688-9064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30019263
OH
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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