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George E. Drake, M.d., P.c.
Primary Care Clinic/Center in Niles, Michigan
NPI 1013114552

George E. Drake, M.d., P.c. is a Primary Care Clinic/Center based in Niles, MI and is specialized in Primary Care. George E. Drake, M.d., P.c. practices in Niles, MI. The NPI Number for George E. Drake, M.d., P.c. is 1013114552 and holds a License No. 4301034140 (Michigan).

The current practice location address for George E. Drake, M.d., P.c. is 1 S 5Th St, Niles, MI and can be reached out via phone at 269-687-9607.

Location: 1 S 5Th St, Niles, MI, 49120-3368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013114552
Provider Name
George E. Drake, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
1 S 5Th St, Niles, MI, 49120-3368
Phone Number
269-687-9607
Fax Number
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00218423 01 MI RR MEDICARE
4731175 05 MI
0801110581 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
1 S 5Th St
City
Niles
State
Michigan
Zip
49120-2710
Phone Number
269-687-9607
Fax Number
person
Provider Business Mailing Address Details
Address
1 S 5Th St
City
Niles
State
Michigan
Zip
49120-2710
Phone Number
269-687-9607
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
4301034140 (Michigan)
Definition
Definition to come...
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