Individual
MS. DEBRA E EVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
131 KERCHEVAL, PIERSON CLINIC, GROSSE POINTE FARMS, MI 48230
(313) 882-7900
Mailing address
131 KERCHEVAL, PIERSON CLINIC, GROSSE POINTE FARMS, MI 48230
(313) 882-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002394
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H231390
BCBS GROUP NUMBER
MI
Enumeration date
02/09/2007
Last updated
06/16/2022
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