Evasovich, Maria Rae

Evasovich, Maria Rae is an individual health care provider with primary practice located at 516 Delaware St Se University Of Minnesota Physicians, Minneapolis MN 55455-0356. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Evasovich, Maria Rae can be contacted via phone (612) 626-5900.

Contact Information

Primary practice address
516 Delaware St Se University Of Minnesota Physicians Minneapolis MN 55455-0356
Phone: (612) 626-5900
Fax: (612) 625-1755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 44538 Minnesota

Profile Details

NPI number 1326077611
LBN Legal business name Evasovich, Maria Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jun 8th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326077611 NPPES
Minnesota MEDICAID 080920900
Minnesota Other 258A9EV
Minnesota MEDICAID 0557439
Minnesota Other 2271271
Minnesota Other 046446
Minnesota Other 1031026
Minnesota Other 157405
Minnesota Other 17-00865
Minnesota Other 037928
Minnesota Other 1646982
Minnesota Other 17-00026
Minnesota Other HP40310
Minnesota MEDICAID 34301200

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