Individual
MR. MICHAEL PAUL DREISBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(618) 973-0247
Mailing address
6050 ROTHWELL ST RM 132, FORT SILL, OK 73503-4482
(580) 442-2131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1406
OK
2255A2300X
Athletic Trainer
2013006628
MO
Other
Enumeration date
08/28/2014
Last updated
12/31/2025
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