MEDICARE: THOMAS A. DRABECKI D.O.P.C.

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	207VG0400X	Gynecology Physician	5101006391	MI

General Provider Information

NPI Number	:	1568592343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS A. DRABECKI D.O.P.C.

Provider Business Mailing Address
First Line	:	274 HILLCREST AVE
Second Line	:
City	:	GROSSE POINTE FARMS
State	:	MI
Zip	:	48236-3123
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	:	586-778-9735

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS ANTHONY DRABECKI
Credential	:	D.O,
Telephone Number	:	586-778-1900

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/22/2020

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