Individual
DR. JAKE ERIK DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE FL 4, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE FL 4, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
67553
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639516230
—
WI
Enumeration date
05/23/2013
Last updated
07/21/2022
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