Individual
DR. MICHAEL JOSEPH DECKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 12TH AVE RD, NAMPA, ID 83686-6008
(208) 461-2883
(208) 461-2953
Mailing address
PO BOX 1517, NAMPA, ID 83653-1517
(208) 461-2883
(208) 461-2953
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M7501
ID
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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