Organization
J WM DECKER MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN W DECKER MD (OWNER /PHYSICIAN)
(517) 281-3107
Entity
Organization
Contact information
Practice address
290 RONALD ST, CEDAR SPRINGS, MI 49319-9508
(517) 281-3107
Mailing address
290 RONALD ST, CEDAR SPRINGS, MI 49319-9508
(517) 281-3107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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