Individual
EVAN M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL PLAZA DR STE 205, ROSEVILLE, CA 95661-3044
(916) 773-8711
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
56776
MN
2084N0400X
Neurology Physician
Primary
C172182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56776
MINNESOTA LICENSE
MN
Enumeration date
06/03/2008
Last updated
08/19/2021
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