Mary L Evenson in Madison - Medical

Mary L Evenson - NPI 1659366565

Mary L Evenson is a Medical in Madison, Wisconsin. Mary L Evenson practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary L Evenson is 1659366565. The last update date is 2008-12-23.

Mary L Evenson's current location address is 752 N High Point Rd, Madison, Wisconsin. You can contact this provider via phone number 6088244000 and fax number 6088244910. The mailing address for Mary L Evenson is 752 N High Point Rd, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary L Evenson
Address 752 N High Point Rd, Madison, Wisconsin
Phone Number 6088244000
Fax Number 6088244910
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1659366565
Provider Enumeration Date 2005-09-16
Last Updated Date 2008-12-23

Provider Mailing Address Detail

Address 752 N High Point Rd
City Madison
State Wisconsin (WI)
Post Code 537172236
Phone Number 6088244000
Fax Number 6088244910

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1019-023
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60842 DEAN HEALTH INSURANCE
42990900 WI --

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FAQs about Mary L Evenson

What is the unique 10-digit identification code assigned to Mary L Evenson by the Centers for Medicare & Medicaid Services?

The Mary L Evenson has been issued the NPI (National Provider Identifier) 1659366565, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mary L Evenson is geographically located?

The Mary L Evenson is physically situated at the following location: 752 N High Point Rd, Madison, WI, 537172236.

What is Mary L Evenson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary L Evenson is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.

When did the Mary L Evenson receive its 1659366565?

The Mary L Evenson was issued its 1659366565 on 2005-09-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Mary L Evenson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary L Evenson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-12-23.

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