Debrule, Michael B

Debrule, Michael B is an individual health care provider with primary practice located at 6600 Lyndale Ave S Suite#130, Richfield MN 55423-3380. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Debrule, Michael B can be contacted via phone (612) 788-8778.

Contact Information

Primary practice address
6600 Lyndale Ave S Suite#130 Richfield MN 55423-3380
Phone: (612) 788-8778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X MN679 Minnesota

Profile Details

NPI number 1689655722
LBN Legal business name Debrule, Michael B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689655722 NPPES
South Dakota MEDICAID 6800620
South Dakota Other 59G29DE
South Dakota MEDICAID 1689655722

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