Individual
JOHN PAUL DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11128 NORTH STATE HWY 77, HAYWARD, WI 54843
(715) 934-3124
(715) 934-3125
Mailing address
11128 NORTH STATE HWY 77, HAYWARD, WI 54843
(715) 934-3124
(715) 934-3125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23324
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115883
MEDICA - FAMILY PRACTICE
MN
01
—
03406DE
BCBS
MN
01
—
6607267
MEDICA - URGENT CARE
MN
01
—
HP10319
HEALTHPARTNERS
MN
01
—
NA4430858001
PREFERRED ONE
MN
Enumeration date
06/12/2006
Last updated
03/07/2023
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