Individual
CHARLENE E MCEVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 PHALEN BLVD, MAIL STOP 41102D, SAINT PAUL, MN 55101-5302
(651) 254-7670
(651) 254-7676
Mailing address
401 PHALEN BLVD, MS 41102D, SAINT PAUL, MN 55130-5302
(651) 254-7670
(651) 254-7676
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
32694
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955295200
—
MN
Enumeration date
02/13/2006
Last updated
08/26/2015
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