Debruin Medical Center A.p.c.

NPI #1104095975 in Orangevale, California

Provider Information

NPI Number: 1104095975
Entity Type: Organization
Organization Name: Debruin Medical Center A.p.c.
Primary Specialty: Family Medicine
Enumeration Date: Feb 26, 2008
Last Updated: Feb 26, 2008

Practice Location

Address: 9352 MADISON AVE
Address 2: STE. ONE
City: Orangevale
State: California
ZIP Code: 95662-4968
Phone: (916) 989-2929

Authorized Official

Name: DR. MARK IKE DEBRUIN, D.O.
Title: OWNER
Phone: (916) 989-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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