IndividualActive
Rudolph Evonich, M.D.
NPI 1205909967 · Clinical Cardiac Electrophysiology Physician · Green Bay, WI
Provider details
- NPI number
- 1205909967
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 21241-875 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
744 S Webster Ave Fl 2
Green Bay, WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3716
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 22487
Green Bay, WI 54305-2487
Additional practice locations (2)
- 1414 W Fair AveSuite 334Marquette, MI 49855-2675Phone: (906) 225-3870Fax: (906) 225-4861
- 2820 Roosevelt RdMarinette, WI 54143-3834Phone: (715) 735-5225Fax: (715) 735-5388
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2023-04-10
- Certified
- 2023-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.