MEDICARE: DR. THOMAS A. DRABECKI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	5101006391	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	62344A	OTHER	MI	HAP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5500082	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1598783896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS A. DRABECKI D.O.

Provider Business Mailing Address
First Line	:	18285 E 10 MILE RD STE 150
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-5808
Country	:	US
Telephone Number	:	586-778-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	18285 E 10 MILE RD STE 150
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-5808
Country	:	US
Telephone Number	:	586-778-1900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/11/2026

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