Provider Demographics
NPI:1992769368
Name:DRAPER, MICHAEL L (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:DRAPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 NORTH 1900 E STE 2B200
Mailing Address - Street 2:U OF U DEPT OF OB/GYN
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-8425
Mailing Address - Fax:801-585-2594
Practice Address - Street 1:30 NORTH 1900 E STE 2B200
Practice Address - Street 2:U OF U DEPT OF OB/GYN
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-8425
Practice Address - Fax:801-585-2594
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK211115207VM0101X
UT265327-1205207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTG43858Medicare UPIN
UT005514801Medicare ID - Type Unspecified