Provider Demographics
NPI:1417976077
Name:EVANS, CHAD D (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:D
Last Name:EVANS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2828 CHICAGO AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407
Mailing Address - Country:US
Mailing Address - Phone:612-879-1000
Mailing Address - Fax:612-879-0722
Practice Address - Street 1:11091 ULYSSES ST NE
Practice Address - Street 2:SUITE 100
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55407
Practice Address - Country:US
Practice Address - Phone:612-879-1000
Practice Address - Fax:612-879-0722
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-02-10
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Provider Licenses
StateLicense IDTaxonomies
MN1023762084N0400X
MN488832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology