JERRY W DRAKE

DEARBORN, MI
NPI1023055969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301045887)
Enumeration Date2006-05-31
Last Update Date2007-08-09
Business Address
-- JERRY W DRAKE M.D.
840 OAKWOOD BLVD
DEARBORN, MI 48124-2319
Phone number: 313-359-7650
Mailing Address
-- JERRY W DRAKE M.D.
PO BOX 2802
DEARBORN, MI 48123-2929
Phone number: 313-359-7650
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