Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EVENSON, MD
Active Sole ProprietorAnatomic Pathology & Clinical Pathology · TIPTON, IN
Registration Details
- NPI Number
- 1407845746
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2005 (20.507932918959 yrs)
- Last Updated
- Nov 29, 2011
- License
-
01032279 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 S MAIN STTIPTON, IN, 460729753Browse IN providers · Browse ZIP 46072
- Phone
- 7656758521
- Fax
- 7656758520
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.