Individual
BRUCE A. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22843
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130003334
RAILROAD MEDICARE
MN
05
—
277018100
—
MN
Enumeration date
12/21/2005
Last updated
02/17/2014
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