Joseph Drasba, DO

Individual provider Active NPI Emergency Medicine Physician · Fraser, MI

NPI 1720032410 · NPPES record last updated Sep 2, 2010

Key facts

NPI
1720032410
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
5101006781 (MI)
Practice address
17717 Masonic
Fraser, MI 48026-3158
Phone
(586) 294-0600
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101006781 MI Yes

Addresses

Primary practice location

17717 Masonic
Fraser, MI 48026-3158

Mailing address

17717 Masonic
Fraser, MI 48026-3158
Phone (586) 294-0600

Other providers in Fraser, MI

All providers in Fraser, MI · Emergency Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.