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Individual
ELIZABETH ANN DECKERS
Active
Individual
ELIZABETH ANN DECKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
049481
CT
207V00000X
Obstetrics & Gynecology Physician
43352
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32832400
GROUP MEDICAID
WI
05
—
34107400
—
WI
Enumeration date
02/17/2006
Last updated
02/22/2011
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