Individual
JASON M EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 W HILL RD, FLINT, MI 48507-4733
(810) 232-8888
(810) 232-9190
Mailing address
6170 STONEWOOD DR, CLARKSTON, MI 48346-5008
(810) 232-8888
(810) 232-9190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301079430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993281
HEALTHPLUS OF MICHIGAN
MI
01
—
1004892
MCLAREN HEATLHPLAN
MI
01
—
11270
MCARE
MI
01
—
6U4056
HAP
MI
Enumeration date
06/08/2006
Last updated
07/08/2007
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