Individual
MICHAEL DEE ANTHONY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSTFA
Contact information
Practice address
7777 YANKEE RD, LIBERTY TOWNSHIP, OH 45044-3500
(513) 803-9600
Mailing address
117 S BROWN SCHOOL RD, VANDALIA, OH 45377-3051
(937) 776-7172
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
3158199
OH
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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