Individual
SUSAN MCALOON DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB FIFTH FLOOR, CLINIC 5B, MINNEAPOLIS, MN 55455
(612) 626-2663
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 480, MINNEAPOLIS, MN 55455
(612) 624-0123
(612) 625-6919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9223
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-06279
MEDICA PRIMARY
MN
01
—
01-19385
MEDICA CHOICE
MN
01
—
1015334
PREFERRED ONE
MN
01
—
126774
UCARE
MN
01
—
1596345
ARAZ
MN
01
—
15G62DE
BCBS
MN
01
—
HP28846
HEALTHPARTNERS
MN
Enumeration date
06/29/2006
Last updated
07/09/2007
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