NPI 1003131061

Susan Anne Edna Evans, DPM

Practitioner Podiatrist Sheboygan, WI

Practice location

Address: 1411 N Taylor Dr, Sheboygan, WI 53081-3043
Phone: (920) 496-4700

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1034-25 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003131061
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2010
Record last updated: 4 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.