Individual
JENNIFER DRANCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 W 12TH ST, PERU, IN 46970-1638
(765) 472-8000
(260) 479-2917
Mailing address
710 N EAST ST, P.O. BOX 548, WABASH, IN 46992-1914
(260) 563-3131
(260) 569-2375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070362A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270190B
—
IN
01
—
201044240
MEDICARE
IN
Enumeration date
06/14/2006
Last updated
09/14/2020
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