Individual
NICHOLAS JOHN DRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 828-2700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101018109
MI
208600000X
Surgery Physician
Primary
62536
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038807
—
WI
Enumeration date
05/19/2009
Last updated
10/17/2023
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