Individual
RICHARD N EVANS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2266 N PROSPECT AVE, #518, MILWAUKEE, WI 53202-6319
(414) 277-7733
Mailing address
1001 W GLEN OAKS LN, STE 105, MEQUON, WI 53092-3369
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25926
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30588200
—
WI
Enumeration date
05/24/2006
Last updated
08/22/2017
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