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Individual
MR. DAVID DEWAINE DRAEGER
Active
Individual
MR. DAVID DEWAINE DRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3163
MI
111N00000X
Chiropractor
Primary
3163012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110139656
RAILROAD MEDICARE
—
05
—
38884400
—
WI
Enumeration date
06/27/2006
Last updated
07/15/2014
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