George Erving Drake MD

NPI 1073559415 - Family Medicine - 207Q00000X

NPI Details
NPI 1073559415
Gender Male
Enumeration Date 06/22/2006
Last Updated 04/02/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
68449 SCOTT ST
EDWARDSBURG MI, 49112-9504, US
Phone (269) 699-5776
Fax
Business Location
68449 SCOTT ST
EDWARDSBURG MI, 49112-9504, US
Phone (269) 699-5776
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301034140
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According to our database, Dr. George Erving Drake MD NPI is 1073559415, taxonomy code is 207Q00000X and license number is 4301034140, license state is located at Michigan. George Erving Drake MD physically located at 68449 Scott St, Edwardsburg MI, 49112-9504. NPI Number George Erving Drake MD has the Individual type.

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1073559415 NPI number is provided on an as is basis without warranty of any kind. 1073559415 is maintained by the National Plan & Provider Enumeration System. The contents of George Erving Drake MD are for informational purposes only.