Most Relevant Information
Provider Data
| NPI Number: | 1003660945 |
| Provider Name: | MATTHEW T DRAKAS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 248849-30 |
Most Important Dates
| Enumeration Date: | 04/16/2024 |
| Last Updated: | 08/02/2024 |
Provider Practice Location
205 PARKER ST
BOSCOBEL
WI
538051642
Practice Location Phone/Fax
| Phone: | 6083754112 |
| Fax: |
Provider Mailing Location
205 PARKER ST
BOSCOBEL
WI
538051642
Provider Mailing Phone/Fax
| Phone: | 6083754112 |
| Fax: |