National Provider Identifier Database

JERRY C EVANS, MD – NPI #1376534941
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

JERRY C EVANS, MD
420 E DIVISION ST
FOND DU LAC, WI54935-4560
Phone: 920-926-8570
Fax:
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for JERRY C EVANS

NPI Number 1376534941
Credentials MD
Entity Individual
Enumeration date 11/02/2005
Last updated 12/09/2020 - About 5 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 35746
  • WI Medicaid: 32323200
  • WI Other: 110143294 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JERRY C EVANS, MD

There are currently no reviews for JERRY C EVANS, MD


NPIdb - Home
v2.201