Individual
GRANT P DRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
880 S VIEW DR STE 15230, MOSINEE, WI 54455-8205
(715) 203-0471
Mailing address
827 CORMIER RD, GREEN BAY, WI 54304-4706
(920) 569-2350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5353
WI
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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