Individual
DR. GEORGE R DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545-1469
(574) 335-5000
(574) 273-1137
Mailing address
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545-1469
(574) 335-5000
(574) 273-1137
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02003439
IN
207P00000X
Emergency Medicine Physician
5101009164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000593395
ANTHEM
IN
05
—
200922330
—
IN
01
—
930005546
RAILROAD MEDICARE
MI
01
—
P00671030
RR MEDICARE
IN
Enumeration date
01/23/2007
Last updated
12/16/2011
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