Individual
MIKE BEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18947 JOHN WILLMS HWY, REHOBOTH BEACH, DE 19971-4474
(302) 703-6585
Mailing address
2016 GILPIN AVE, WILMINGTON, DE 19806-2214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000987
DE
Other
Enumeration date
07/07/2006
Last updated
10/10/2016
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