Individual
ANDREA EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46591 ROMEO PLANK RD STE 200, MACOMB, MI 48044-5705
(586) 226-6100
Mailing address
46591 ROMEO PLANK RD STE 200, MACOMB, MI 48044-5705
(586) 226-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301511381
MI
Other
Enumeration date
04/29/2021
Last updated
07/08/2024
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