MICHAEL B DEBRULE DPM, PA (NPI# 1699968875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699968875 |
Entity Type | Organization |
Organization Name | MICHAEL B DEBRULE DPM, PA |
Practice Address |
301 N 3rd St Marshall MN 56258-1328 |
Mailing Address |
200 Oconnell St Suite B Marshall MN 56258-3773 |
Practice Telephone | 5075324676 |
Practice Fax Number | 5079291041 |
Mailing Telephone | 5075324676 |
Mailing Fax Number | 5079291041 |
Enumeration Date | 2007-08-22 |
Last Update Date | 2009-02-11 |
Authorized Official Name | DR. MICHAEL B DEBRULE (OWNER) |
Authorized Official Telephone | 5075324676 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS | 59G28DE | 01 |
MN | 439392900 | 05 |
Street Address |
301 N 3RD ST |
City | MARSHALL |
State | MN |
Zip Code | 56258-1328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
1780020370 | Heritage Pointe Senio | Assisted Living Facility | 207 N 4th Street, Marshall, MI 56258 | 2013-05-22 |
1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
1912148545 | Tami J Behnke | Counselor | 1418 State Street, Campus Religious Center, Marshall, MN 56258 | 2009-03-11 |
1073768396 | Sharyce Marie Audiology Inc | Audiologist | 1424 East College Drive, Suite 200, Marshall, MN 56258 | 2008-12-01 |
1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
1265597470 | Nancy Louise Hemmingson | Optometrist | 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 | 2006-12-27 |
1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
1306918354 | Paul Joseph Puetz | Chiropractor | 111 Jewett St, Marshall, MN 56258 | 2006-11-14 |
Find all providers in zip 56258 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467664904 | Spartan Podiatry PC | Podiatrist | 1600 South Kalamazoo Ave., Marshall, MI 49068 | 2007-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
1568595783 | Stephen Bryan Wahman | Podiatrist | 1575 Sherwood Rd, Shoreview, MN 55126-8517 | 2007-03-14 |
1760465215 | Minh Chau Margaret Nguyen | Podiatrist | 7600 France Ave S Ste 1100, Edina, MN 55435-5924 | 2005-11-29 |
1689655722 | Michael B Debrule | Podiatrist | 6600 Lyndale Ave S, Suite#130, Richfield, MN 55423-3380 | 2005-11-07 |
1649279753 | Thomas Joseph Holsinger | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2005-07-20 |
1558898114 | Kristofor James Kalvig | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2017-05-15 |
1740544527 | Aaron Daniel Corfield | Podiatrist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2012-06-27 |
1912286964 | Otter Tail Podiatry P.C. | Podiatrist | 120 E Junius Ave, Fergus Falls, MN 56537-2819 | 2011-08-09 |
1134412802 | Karimah Z Shabazz | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2011-05-27 |
1760614390 | Alissa Joy Redding | Podiatrist | 417 Franklin St S, Glenwood, MN 56334-1598 | 2009-08-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.