Individual
CLARICE R DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11475 ROBINSON DR NW, COON RAPIDS, MN 55433-3746
(763) 587-9000
(763) 587-9130
Mailing address
11475 ROBINSON DR NW, COON RAPIDS, MN 55433-3746
(763) 587-9000
(763) 587-9130
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37105
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
719025500
—
MN
Enumeration date
03/17/2006
Last updated
11/11/2013
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