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Individual

DR. MICHAEL J DRAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
850 W IRONWOOD DR, STE 301, COEUR D ALENE, ID 83814-4903
(208) 667-9762
(208) 765-1041
Mailing address
850 W IRONWOOD DR, STE 301, COEUR D ALENE, ID 83814-4903
(208) 667-9762
(208) 765-1041

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P134
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002667000
ID
01
480009676
PALMETTO GBA
ID
Enumeration date
06/09/2005
Last updated
06/17/2010
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