Individual
KARIN E. EVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
38683
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-00010
MEDICA PRIMARY
MN
01
—
10-13362
MEDICA CHOICE
MN
01
—
1011275
PREFERREDONE
MN
01
—
113093
UCARE
MN
01
—
20A46EV
BLUE CROSS
MN
01
—
32249000
MEDICAID - WISCONSIN
WI
05
—
616318100
—
MN
01
—
88311
AMERICA'S PPO
MN
Enumeration date
08/09/2005
Last updated
05/21/2013
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