Individual
DR. HEATHER ANNE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2251 CONNECTICUT AVE S, SARTELL, MN 56377
(320) 253-5220
(320) 203-2200
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(320) 253-5220
(320) 203-2200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036111062
IL
208000000X
Pediatrics Physician
Primary
63914
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111062
—
IL
Enumeration date
02/21/2006
Last updated
07/17/2018
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