person
Mr. Oscar Julius Debardeleben
Mental Health Clinic/Center (Including Community Mental Health Center) in Red Lake, Minnesota
NPI 1992423164

Oscar Julius Debardeleben is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Bemidji, MN and is specialized in Mental Health (Including Community Mental Health Center). Oscar Julius Debardeleben practices in Red Lake, MN. The NPI Number for Oscar Julius Debardeleben is 1992423164 and holds a License No. IMH20035 (Minnesota).

The current practice location address for Oscar Julius Debardeleben is 24760 Hospital Drive, Red Lake, MN and can be reached out via phone at 218-679-3912.

Location: 24760 Hospital Drive, Red Lake, MN, 56601-4146
person
Provider Profile Details
NPI Number
1992423164
Provider Name
Oscar Julius Debardeleben
Credential
Provider Entity Type
Individual
Gender
Male
Address
24760 Hospital Drive, Red Lake, MN, 56601-4146
Phone Number
218-679-3912
Fax Number
Provider Enumeration Date
08/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24760 Hospital Drive
City
State
Zip
56671
Phone Number
218-679-3912
Fax Number
person
Provider Business Mailing Address Details
Address
24760 Hospital Drive
City
State
Zip
56671
Phone Number
218-679-3912
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
IMH20035 (Florida)
Definition
Definition to come...
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