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Organization

MICHAEL B DEBRULE DPM, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL B DEBRULE DPM (OWNER)
(507) 532-4676
Entity
Organization

Contact information

Practice address
301 N 3RD ST, MARSHALL, MN 56258-1328
(507) 532-4676
(507) 929-1041
Mailing address
200 OCONNELL ST, SUITE B, MARSHALL, MN 56258-3773
(507) 532-4676
(507) 929-1041

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
439392900
MN
01
59G28DE
BCBS
MN
Enumeration date
08/22/2007
Last updated
02/11/2009
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