Individual
DR. GEORGE MICHAEL DECKERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2554 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3131
(314) 487-1725
(636) 207-7609
Mailing address
2554 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3131
(314) 487-1725
(636) 207-7609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004537
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5546
BLUE CROSS BLUE SHIELD
MO
Enumeration date
11/10/2005
Last updated
07/08/2007
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