Evan Mazur

NPI 1215452479 · on the registry since 2017 · sole proprietor

Practice

Address: 4085 Burton St Se Ste 100
Grand Rapids, MI 49546
Phone: (616) 233-3599
Fax: (616) 385-6030
Organisation at this address: Advent Rehabilitation, Llc
Michigan Medical Patient Care
Michigan Medical Patient Care
Center For Vein Restoration Mi Pllc
Spectrum Health Primary Care Partners
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 225100000X
225100000X
Also registered as: 225100000X
Licence states on file: CO, MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan