Individual
JOHN PAUL DRAWBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 OAKLEAF WAY, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
27963
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09 13769
MEDICA/SELECTCARE EC
WI
01
—
09 13770
MEDICA/SELECTCARE CF
WI
01
—
137265200
OWCP
WI
01
—
17456
SECURITY HEALTH PLAN
WI
05
—
30761500
—
WI
01
—
378L3DR
BCBS MN
WI
01
—
4360918
AETNA
WI
01
—
605099
UNITED HEALTHCARE
WI
01
—
P00140236
RAILROAD
WI
Enumeration date
06/23/2006
Last updated
01/15/2015
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