Individual
DR. MICHEL ANTHONY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
159 EXECUTIVE DR STE C, DANVILLE, VA 24541-4160
(434) 792-0830
(434) 792-0468
Mailing address
159 EXECUTIVE DR STE C, DANVILLE, VA 24541-4160
(434) 792-0830
(434) 792-0468
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
0102204818
VA
207YS0123X
Facial Plastic Surgery Physician
5101020019
MI
Other
Enumeration date
09/25/2012
Last updated
03/28/2021
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