Brett Jacob Debele Valid NPI
Individual provider · Specialist · Fergus Falls, MN
- NPI
- 1558649467
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 8791 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-07-26
- Last updated
- 2026-05-17
Practice location
1304 W Lincoln Ave
Fergus Falls, MN 56537-4818
(218) 998-0701