Individual
MR. EVAN ANDREW FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
323 W CHICAGO ST, COLDWATER, MI 49036-2805
(517) 278-6077
(517) 278-7045
Mailing address
323 W CHICAGO ST, COLDWATER, MI 49036-2805
(517) 278-6077
(517) 278-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
290101005
MI
1223G0001X
General Practice Dentistry
2901020908
MI
Other
Enumeration date
06/26/2013
Last updated
01/13/2022
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