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Individual

ROBERT CHARLES DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.AC., R.PH.

Contact information

Practice address
2833 CHICAGO AVE, MINNEAPOLIS, MN 55407-1319
(612) 863-3333
(612) 863-6043
Mailing address
2644 BURD PL, MINNEAPOLIS, MN 55426-2436
(952) 546-3723
(612) 863-6043

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1060
MN
183500000X
Pharmacist
Primary
112302
MN

Other

Enumeration date
08/20/2007
Last updated
08/24/2009
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