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Individual

RICHARD D DRAKE

Active
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Individual

RICHARD D DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35055631
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127979
ANTHEM
OH
05
—
0958638
—
OH
01
—
220013953
RAILROAD MEDICARE
OH
05
—
3052898
—
MI
Enumeration date
07/07/2005
Last updated
06/03/2014
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