Individual
ALANA MARIE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
644 PROSPECT AVE # 152, BROWNSVILLE, WI 53006-2629
(612) 240-5400
Mailing address
800 ALGOMA BLVD, OSHKOSH, WI 54901-8610
(920) 424-1234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242318-30
WI
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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