Individual
EVAN R HALCHISHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3535 W 13 MILE RD, SUITE 437, ROYAL OAK, MI 48073-6770
(248) 616-1170
(248) 589-9875
Mailing address
30701 BARRINGTON ST, SUITE 150, MADISON HEIGHTS, MI 48071-5106
(248) 616-1170
(248) 589-9875
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
5101018701
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101018701
MI
Other
Enumeration date
07/26/2010
Last updated
01/07/2015
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