Individual provider · Type 1 NPI

Evan Bevolden

Medical Physician Assistant · Muskegon, MI

NPI number 1093066870 Active

Practice location

1700 Clinton St
Muskegon, MI 49442-5502

Mailing address

1427 Southern Ave
Kalamazoo, MI 49001-4334

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601006478 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1093066870

Evan Bevolden's National Provider Identifier is 1093066870, issued on Sep 20, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Muskegon, MI. The record was last updated on Sep 20, 2012.