Individual
MRS. SUSAN WINTERHALTER DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6801 BRECKSVILLE RD STE 10, INDEPENDENCE, OH 44131-5057
(216) 636-8601
Mailing address
3806 NAUTILUS TRL, REMINDERVILLE, OH 44202-9022
(610) 248-5565
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003154
OH
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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