Individual
SUSIE C DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
(608) 263-7171
(608) 265-8060
Mailing address
123 HOSPITAL DR, STE 1002, WATERTOWN, WI 53098-3320
(920) 261-8225
(920) 261-5343
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
66916
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2013
Last updated
06/01/2018
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