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Individual

DR. MARSHALL H EVERSON JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7450 FRANCE AVE S, SUITE 100, EDINA, MN 55435-4787
(952) 832-8100
(952) 832-8176
Mailing address
7450 FRANCE AVE S, SUITE 100, EDINA, MN 55435-4787
(952) 832-8100
(952) 832-8176

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33282
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800014
MEDICA DUAL SOLUTIONS
MN
01
0817801
MEDICA
MN
01
109856
PATIENT CHOICE
MN
01
20578EV
BLUE CROSS BLUE SHIELD
MN
01
23385
AMERICA'S PPO/TPA
MN
01
960560305007
PREFERREDONE
MN
01
E16920
HEALTH PARTNERS
MN
Enumeration date
02/25/2006
Last updated
07/08/2007
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