Individual
DR. GEORGE ERVING DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
68449 SCOTT ST, EDWARDSBURG, MI 49112-9504
(269) 699-5776
Mailing address
68449 SCOTT ST, EDWARDSBURG, MI 49112-9504
(269) 699-5776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301034140
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801110581
BCBS
—
05
—
4731175
—
MI
01
—
P00218423
RR MEDICARE
—
Enumeration date
06/22/2006
Last updated
04/02/2013
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