Individual
DR. MICHELE LYNN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1808 VERDUGO BLVD, SUITE 319, GLENDALE, CA 91208
(626) 440-9161
(626) 585-1603
Mailing address
1808 VERDUGO BLVD, SUITE 319, GLENDALE, CA 91208
(818) 952-0328
(818) 952-0365
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
A62219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62219
MEDICAL LICENSE
CA
Enumeration date
01/25/2006
Last updated
03/28/2014
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