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NPI Code Detail

MEDICARE: DRAZA KOLPACK

MEDICARE: DRAZA KOLPACK
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
1101YM0800XMental Health CounselorWI

General Provider Information

NPI Number : 1477483139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DRAZA KOLPACK
Provider Business Mailing Address
First Line : 1300 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2602
Country : US
Telephone Number : 414-390-5800
Fax Number :
Provider Business Practice Location Address
First Line : 1300 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2602
Country : US
Telephone Number : 414-390-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ DRAZA KOLPACK ” Practice Location

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