Individual
MR. TROY MICHAEL EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
5601 96TH AVE N STE 200, BROOKLYN PARK, MN 55443-4505
(763) 786-9543
(763) 786-3320
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9710
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408377600
—
MN
Enumeration date
02/28/2006
Last updated
11/03/2022
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