Individual
MICHAEL DEEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6600
(414) 454-6522
Mailing address
16130 SIESTA LN, BROOKFIELD, WI 53005-3246
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27956
WI
2084P0802X
Addiction Psychiatry Physician
27956
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31368000
—
WI
Enumeration date
06/21/2006
Last updated
12/09/2011
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