Individual
DR. NEIL L DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35821
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007000215X
HUMANA
—
05
—
1023060936
—
WI
Enumeration date
05/17/2006
Last updated
10/03/2013
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