Mark Ike Debruin, D.O.

NPI #1154327518 in Orangevale, California

Provider Information

NPI Number: 1154327518
Entity Type: Individual
Name: Mark Ike Debruin, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 21, 2005
Last Updated: Sep 18, 2012

Practice Location

Address: 9352 MADISON AVE
Address 2: STE 1
City: Orangevale
State: California
ZIP Code: 95662-4968
Phone: (916) 989-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Debruin Medical Center A.p.c.	Family Medicine	Orangevale	AI Deep Dive
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