SUSAN A EVANS — Medicare Enrolled Provider (PRACTITIONER - PODIATRY, WI)
SUSAN A EVANS — Medicare Enrolled Provider (PRACTITIONER - PODIATRY, WI) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: SUSAN A EVANS; Type: Individual; NPI: 1003131061.
| Name | SUSAN A EVANS |
|---|---|
| Type | Individual |
| NPI | 1003131061 |
| Provider type | PRACTITIONER - PODIATRY |
| State | WI |
| Enrollment ID | I20131101000383 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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