Provider Demographics
NPI:1831477116
Name:DRAAYER, PATRICK ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ARTHUR
Last Name:DRAAYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 1ST AVE SE
Mailing Address - Street 2:STE 1
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-3480
Mailing Address - Country:US
Mailing Address - Phone:507-396-8088
Mailing Address - Fax:507-396-8089
Practice Address - Street 1:109 1ST AVE SE
Practice Address - Street 2:STE 1
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-3480
Practice Address - Country:US
Practice Address - Phone:507-396-8088
Practice Address - Fax:507-396-8089
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007426111N00000X
MN5594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor