SUSIE DRAKE

WATERTOWN PHYSICIAN PRACTICES LLC

Dr SUSIE DRAKE is a female medical professional, specializing in Ophthalmology. She graduated in 2013 from University Of Wisconsin Medical School.

Contact

WATERTOWN PHYSICIAN PRACTICES LLC

540 VILLAGE WALK LN J
JOHNSON CREEK
WI
530389554

Tel: 9206996200

SUSIE DRAKE Information

Npi 1487092078
Pac Id 4981914140
Professional Enrollment Id I20170524001455
Last Name DRAKE
First Name SUSIE
Middle Name
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
Graduation Year 2013
Primary Specialty OPHTHALMOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WATERTOWN PHYSICIAN PRACTICES LLC
Group Practice Pac Id 8022329408
Number Of Group Practice Members 71
Line 1 Street Address 540 VILLAGE WALK LN J
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JOHNSON CREEK
State WI
Zip Code 530389554
Phone Number 9206996200
Hospital Affiliation Ccn 1 520116
Hospital Affiliation Lbn 1 WATERTOWN MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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