Individual
COURTNEY LYNN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048
(269) 226-4834
Mailing address
943 BERNIE LN, MADISON HEIGHTS, MI 48071-3484
(248) 790-0627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008757
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/10/2017
Last updated
07/08/2021
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