Individual
MARISSA DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4944
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4944
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
71587-20
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
7434
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912388638
—
WI
Enumeration date
06/18/2015
Last updated
06/09/2023
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