Individual
RICHARD D DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 CHERRY ST, TOLEDO, OH 43608-2673
(419) 251-4534
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35055631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127979
ANTHEM
OH
05
—
0958638
—
OH
01
—
220013953
RAILROAD MEDICARE
OH
05
—
3052898
—
MI
Enumeration date
07/07/2005
Last updated
06/03/2014
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