EVAN R WADSWORTH

MOORESVILLE, IN
NPI1023518347
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002428A)
Enumeration Date2018-02-13
Last Update Date2023-09-28
Business Address
EVAN R WADSWORTH PA
1199 HADLEY RD
MOORESVILLE, IN 46158-1788
Phone number: 317-831-2273
Mailing Address
EVAN R WADSWORTH PA
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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