Individual
LUKE DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
184 CLARK POINT RD, SOUTHWEST HARBOR, ME 04679-4414
(207) 244-4678
(207) 244-4613
Mailing address
184 CLARK POINT RD, SOUTHWEST HARBOR, ME 04679-4414
(207) 244-4678
(207) 244-4613
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3270814
ME
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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