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Individual

CHRISTIAN O DEBRANIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-9510
(608) 392-9860
Mailing address
700 WEST AVE S, PHYSICIAN SERVICES DEPT, LA CROSSE, WI 54601-4783
(608) 392-4156
(608) 392-9898

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
27870
KY
207RH0003X
Hematology & Oncology Physician
Primary
45184
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000220347
ANTHEM BCBS
KY
05
34311000
WI
05
6427870800
KY
Enumeration date
11/03/2006
Last updated
09/26/2008
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