Evan Fitzgerald, MD Valid NPI
Individual provider · Family Medicine Physician · Vicksburg, MI
- NPI
- 1831540350
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 4301500376 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-06-27
- Last updated
- 2023-11-27
Practice location
13320 North Blvd
Vicksburg, MI 49097-1514
(269) 649-2012