Individual
DR. COLLEEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
53321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007-0009348
MEDICA
MN
05
—
1659564763
—
MI
05
—
1659564763
—
MN
05
—
1659564763
—
WI
01
—
19446
STATE PERMIT NUMBER
MN
Enumeration date
08/22/2007
Last updated
10/16/2013
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