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Individual

MICHAEL D. EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5615 W SUNSET HWY, SPOKANE, WA 99224-9454
(206) 901-6117
(206) 901-6108
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00013530
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8442204
WA
Enumeration date
02/16/2007
Last updated
09/01/2009
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