Provider Demographics
NPI:1619137072
Name:DRAYNA, PAUL MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MICHAEL
Last Name:DRAYNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6525 FRANCE AVE S STE 115
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2283
Mailing Address - Country:US
Mailing Address - Phone:952-345-8200
Mailing Address - Fax:952-345-8207
Practice Address - Street 1:6525 FRANCE AVE S STE 115
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2283
Practice Address - Country:US
Practice Address - Phone:952-345-8200
Practice Address - Fax:952-345-8207
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE25501207WX0107X, 207W00000X
MN58924207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology