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Individual

DOUGLAS B. EVANS

Active
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Individual

DOUGLAS B. EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
52498
WI
2086X0206X
Surgical Oncology Physician
H5546
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295820116
WI
05
36457201
TX
Enumeration date
10/04/2006
Last updated
11/22/2019
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