Individual
MR. ERIC MICHAEL DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8100 W 78TH ST, EDINA, MN 55439-2516
(952) 946-9777
(952) 946-9888
Mailing address
9734 SAINT ANDREWS DR, ELKO, MN 55020-9630
(651) 357-5117
(952) 946-9888
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1921
MN
Other
Enumeration date
04/04/2007
Last updated
12/29/2011
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