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Individual

MR. JOSEPH ROGER EVANS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
9273 NATURE VIEW LN, YPSILANTI, MI 48197-8739
(734) 785-7705
(734) 287-3071

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
03/24/2017
Last updated
03/24/2017
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