Individual
STEPHEN BIR EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 835-8000
Mailing address
3685 E LAKE RD, SHEFFIELD LAKE, OH 44054-1003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35046310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514358
—
OH
01
—
942460636895
CARESOURCE
OH
01
—
P00249505
MEDICARE RR-GA
OH
Enumeration date
06/07/2006
Last updated
07/08/2007
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