Individual
MEREDITH DECENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 545-4445
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 545-1044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14950
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
02/24/2026
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