Tom Debrito, CRNA Valid NPI
Individual provider · Specialist · Fergus Falls, MN
- NPI
- 1043248784
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 31061 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-06-29
- Last updated
- 2007-07-08
Practice location
712 S Cascade St
Fergus Falls, MN 56537-2913
(218) 736-8000