Individual
VICKI S. DEBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
921 S 1ST AVE, ALPENA, MI 49707-3745
(989) 340-0615
(989) 607-5154
Mailing address
921 S 1ST AVE, ALPENA, MI 49707-3745
(989) 340-0615
(989) 607-5154
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101013701
MI
Other
Enumeration date
09/24/2008
Last updated
05/13/2010
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