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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. OSCAR JULIUS DEBARDELEBEN

Active Sole Proprietor

MR. OSCAR JULIUS DEBARDELEBEN is a Mental Health Clinic healthcare provider located in RED LAKE, Minnesota. NPI 1992423164 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · RED LAKE, MN

Registration Details

NPI Number
1992423164
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2022 (3.8109755034316 yrs)
Last Updated
Aug 15, 2022
License
IMH20035 (FL)
Sole Proprietor
Yes

Practice Information

Address
24760 HOSPITAL DRIVE
RED LAKE, MN, 56671
Browse MN providers · Browse ZIP 56671
Phone
2186793912
Primary Specialty
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.