Individual
DR. IAIN W. DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
BELOIT CLINIC, 1905 E HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-5452
Mailing address
BELOIT CLINIC, 1905 E HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-5452
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-157241
IL
207W00000X
Ophthalmology Physician
5101028533
MI
207W00000X
Ophthalmology Physician
Primary
75511-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174613
—
WI
Enumeration date
05/25/2017
Last updated
03/12/2025
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