MEDICARE: PAIGE ELIZABETH DREES AU.D.

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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1396572350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE ELIZABETH DREES AU.D.

Provider Business Mailing Address
First Line	:	4694 BUSHEY RD
Second Line	:
City	:	CYGNET
State	:	OH
Zip	:	43413-9615
Country	:	US
Telephone Number	:	419-806-6313
Fax Number	:

Provider Business Practice Location Address
First Line	:	3130 CENTRAL PARK W STE B
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43617-1088
Country	:	US
Telephone Number	:	248-865-4166
Fax Number	:

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

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	01/22/2025

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