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Individual

DR. DOMINIC PAUL DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1221 W LAKE ST STE 201, MINNEAPOLIS, MN 55408
(612) 824-1772
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65200
MN

Other

Enumeration date
05/16/2016
Last updated
11/09/2020
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