Individual
DR. MICHAEL BENJAMIN DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
68392
MN
207P00000X
Emergency Medicine Physician
75222
WI
Other
Enumeration date
05/24/2018
Last updated
07/02/2021
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