Individual
JUANITA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3982
Mailing address
P.O. BOX 1468, NOVI, MI 48099-1468
(717) 531-1692
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301100242
MI
Other
Enumeration date
05/25/2007
Last updated
04/14/2022
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