Individual
DEBRA L ENGEBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4443
Mailing address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4443
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
310
WI
237600000X
Audiologist-Hearing Aid Fitter
310
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41137000
—
WI
Enumeration date
09/28/2005
Last updated
08/30/2008
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