Individual
BOYD JOSEPH DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
N884 KNEPPRATH RD, CEDAR GROVE, WI 53013-1169
(920) 889-8753
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071883
—
WI
Enumeration date
09/12/2017
Last updated
06/05/2023
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