Organization
MICHAEL B DEBRULE DPM, PA
Active
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
Update your record
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