Individual
AYLMER D EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OAKWOOD HEALTHCARE CENTER MERCURY DRIVE, 4900 MERCURY DRIVE, SUITE 201, DEARBORN, MI 48126
(313) 982-4351
Mailing address
3205 STUART LN, DEARBORN, MI 48120-1336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301088457
MI
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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