Dr Jackson K Draeger, DC | |
827 Cormier Rd, Green Bay, WI 54304-4706 | |
(920) 569-2350 | |
Not Available |
Full Name | Dr Jackson K Draeger |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 7 Years |
Location | 827 Cormier Rd, Green Bay, Wisconsin |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073012290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5321-12 (Wisconsin) | Primary |
Provider Name | Gold Medal Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114513652 PECOS PAC ID: 0749698637 Enrollment ID: O20210414000047 |
Mailing Address | Practice Location Address |
---|---|
Dr Jackson K Draeger, DC 827 Cormier Rd, Green Bay, WI 54304-4706 Ph: (920) 569-2350 | Dr Jackson K Draeger, DC 827 Cormier Rd, Green Bay, WI 54304-4706 Ph: (920) 569-2350 |
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