Individual
DR. MICHAEL B DEBRULE
Active
Individual
DR. MICHAEL B DEBRULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
MN679
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689655722
—
MN
01
—
59G29DE
BCBS OF MN
MN
05
—
6800620
—
SD
Enumeration date
11/07/2005
Last updated
10/29/2018
Update your record
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