# THOMAS G DRABEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639157399
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 001420 | IA | — |
| 363AS0400X | Surgical Physician Assistant | 085000534 | IL | Yes |

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 01/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05706 | WELLMARK | — |
| 01 | — | 228910 | MIDLANDS CHOICE | — |
| 01 | — | 93005 | WELLMARK | — |
| 01 | — | 93009 | WELLMARK | — |
| 01 | — | 970030240 | RR MEDICARE | — |