Individual
DOUGLAS B. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVENUE, SURGICAL ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5020
(414) 805-5771
Mailing address
9200 W WISCONSIN AVENUE, SURGICAL ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5020
(414) 805-5771
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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