Individual
MR. MARK HENRY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 NORTH 35TH STREET, MILWAUKEE, WI 53208-4106
(414) 931-7600
(414) 271-9951
Mailing address
215 NORTH 35TH STREET, MILWAUKEE, WI 53208
(414) 931-7600
(414) 271-9951
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
26951
WI
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
26951-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31508000
—
WI
Enumeration date
08/20/2006
Last updated
03/07/2023
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