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Individual

DR. MARIA RAE EVASOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
516 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455-0356
(612) 626-5900
(612) 625-1755
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 195, MINNEAPOLIS, MN 55455
(612) 626-5900
(612) 625-1755

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
44538
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
037928
CONNETICARE
CT
01
046446
HEALTHNET
CT
05
0557439
IA
05
080920900
MN
01
1031026
PREFERRED ONE
MN
01
157405
UCARE
MN
01
1646982
ARAZ
MN
01
17-00026
MEDICA PRIMARY
MN
01
17-00865
MEDICA CHOICE
MN
01
2271271
AETNA
CT
01
258A9EV
BCBS
MN
05
34301200
WI
01
HP40310
HEALTHPARTNERS
MN
Enumeration date
07/01/2006
Last updated
06/08/2015
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