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Individual

MR. DAVID DEWAINE DRAEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5105 HWY 70 W., EAGLE RIVER, WI 54521
(715) 479-5995
(715) 479-1617
Mailing address
5105 HWY 70 W, PO BOX 2708, EAGLE RIVER, WI 54521
(715) 479-5995
(715) 479-1617

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3163
MI
111N00000X
Chiropractor
Primary
3163012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110139656
RAILROAD MEDICARE
05
38884400
WI
Enumeration date
06/27/2006
Last updated
07/15/2014
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