Individual provider · Type 1 NPI

Mary L. Evenson, PA-C

Medical Physician Assistant · Madison, WI

NPI number 1659366565 Active

Practice location

752 N High Point Rd, Dean Medical Center
Madison, WI 53717-2236

Fax (608) 824-4910

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1019-023 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1659366565

Mary L. Evenson, PA-C's National Provider Identifier is 1659366565, issued on Sep 16, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Dec 23, 2008.