person
David Gordon Drake, MD
Diagnostic Radiology Physician in Roseville, Minnesota
NPI 1528046612

David Gordon Drake is a Diagnostic Radiology Physician based in Roseville, MN and is specialized in Diagnostic Radiology. David Gordon Drake practices in Roseville, MN and has the professional credentials of MD. The NPI Number for David Gordon Drake is 1528046612 and holds a License No. 30429 (Minnesota).

The current practice location address for David Gordon Drake is 2355 Highway 36 W Ste 100, Roseville, MN and can be reached out via phone at 651-292-2000 and via fax at 651-292-2204.

Location: 2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
person
Provider Profile Details
NPI Number
1528046612
Provider Name
David Gordon Drake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
Phone Number
651-292-2000
Fax Number
651-292-2204
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
199387900 05 MN
institution
Provider Business Practice Location Address Details
Address
2355 Highway 36 W Ste 100
City
State
Zip
55113-3905
Phone Number
651-292-2000
Fax Number
651-292-2204
person
Provider Business Mailing Address Details
Address
2355 Highway 36 W Ste 100
City
State
Zip
55113-3905
Phone Number
651-292-2000
Fax Number
651-292-2204
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
30429 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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