Individual
MR. CHRISTOPHER MATTHEW EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-5700
(260) 266-5910
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.027678
OH
207RC0000X
Cardiovascular Disease Physician
01092485A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01092485A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
06/03/2025
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