Individual
DR. GEORGE EDWARD EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2950 E JEFFERSON AVE, DETROIT, MI 48207-4208
(313) 567-3550
(313) 567-2905
Mailing address
2950 E JEFFERSON AVE, DETROIT, MI 48207-4208
(313) 567-3550
(313) 567-2905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429667834
—
MI
Enumeration date
12/21/2006
Last updated
01/06/2012
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