Organization
RICHARD N EVANS JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD N EVANS MD (OWNER/PRESIDENT)
(414) 277-7733
Entity
Organization
Contact information
Practice address
2266 N PROSPECT AVE, SUITE 518, MILWAUKEE, WI 53202-6319
(414) 277-7733
Mailing address
4555 W SCHROEDER DR, SUITE 170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30588200
—
WI
Enumeration date
07/10/2006
Last updated
05/21/2008
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