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General NPI Number Information
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NPI Number | 1396758470
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Entity Type | Individual
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Provider Name | EDMUND W DRAPER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 239 MCKINLEY AVE
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City | EVELETH
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State | MN
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Zip | 55734-1606
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Country | US
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Telephone | 218-744-3472
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Fax |
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Provider Business Mailing Address
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Address Line | 3920 13TH AVE E SUITE 6
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City | HIBBING
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State | MN
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Zip | 55746-3675
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Country | US
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Telephone | 218-263-7540
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Fax | 866-732-0699
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38159
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License Number State | MN
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