Individual
ALYSSA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2707
(651) 523-9800
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.075864
IL
208000000X
Pediatrics Physician
Primary
74929
MN
Other
Enumeration date
04/29/2020
Last updated
08/03/2023
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