Provider Demographics
NPI:1619084407
Name:DREWNO, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:DREWNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 37TH AVENUE PL NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-8072
Mailing Address - Country:US
Mailing Address - Phone:828-448-7822
Mailing Address - Fax:828-580-6759
Practice Address - Street 1:133 37TH AVENUE PL NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-8072
Practice Address - Country:US
Practice Address - Phone:828-448-7822
Practice Address - Fax:828-580-6759
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00277207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
N27530041OtherMEDICARE MERCY
ON27530OtherMEDICARE GROUP NO. MERCY
MI4280234Medicaid
MI4280234Medicaid
MI4280234Medicaid