Individual
MICHAEL J DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7858 SHRADER RD, RICHMOND, VA 23294
(804) 270-1305
(804) 273-9294
Mailing address
7858 SHRADER RD, RICHMOND, VA 23294
(804) 270-1305
(804) 273-9294
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
0101025746
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010103410
—
VA
Enumeration date
02/27/2006
Last updated
03/16/2015
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