MEDICARE: DR. MICHAEL JAMES DRUSCHEL MD

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	207Q00000X	Family Medicine Physician	MD60733269	WA
2	207Q00000X	Family Medicine Physician	58752	AZ

General Provider Information

NPI Number	:	1750794731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAMES DRUSCHEL MD

Provider Business Mailing Address
First Line	:	1600 W UNIVERSITY AVE STE 112
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-3154
Country	:	US
Telephone Number	:	928-223-4823
Fax Number	:	202-381-9567

Provider Business Practice Location Address
First Line	:	1600 W UNIVERSITY AVE STE 112
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-3154
Country	:	US
Telephone Number	:	928-223-4823
Fax Number	:	202-381-9567

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

Provider Enumeration Date	:	06/06/2014
Last Update Date	:	05/05/2026

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