Individual
DANIEL HAYDEN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2793 FOREST LODGE DR, TRAVERSE CITY, MI 49685-8201
(231) 935-5730
Mailing address
2793 FOREST LODGE DR, TRAVERSE CITY, MI 49685-8201
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301049311
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2974915
—
MI
Enumeration date
04/09/2007
Last updated
01/25/2019
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