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Individual
DR. MITCHELL DREXLER
Active
Individual
DR. MITCHELL DREXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM MPH
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016002638
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016002638
LICENSE
IL
05
—
016002638
—
IL
01
—
203587
MEDICARE
IL
01
—
316000425
SUBSTANCE CONTROLLED
IL
01
—
60020753
BCBS
IL
Enumeration date
07/25/2006
Last updated
03/07/2023
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