George E. Drake, M.d., P.c.

NPI 1013114552 - Clinic/Center - 261QP2300X

NPI Details
NPI 1013114552
Enumeration Date 06/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GEORGE ERVING GEORGE
Position PRESIDENT OWNER
Phone (269) 687-9607
Fax
Practice Location
1 S 5TH ST
NILES MI, 49120-2710, US
Phone (269) 687-9607
Fax
Business Location
732 S 11TH ST
SUITE 100 #242
NILES MI, 49120-3368, US
Phone (269) 687-9607
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Michigan
License Number 4301034140
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According to our database, George E. Drake, M.d., P.c. NPI is 1013114552, taxonomy code is 261QP2300X and license number is 4301034140, license state is located at Michigan. George E. Drake, M.d., P.c. physically located at 1 S 5th St, Niles MI, 49120-2710. NPI Number 1033115704 has the healthcare provider type.

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1013114552 NPI number is provided on an as is basis without warranty of any kind. 1013114552 is maintained by the National Plan & Provider Enumeration System. The contents of George E. Drake, M.d., P.c. are for informational purposes only.