Individual
DR. CARRIE MICHELE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 334-7575
(573) 334-7512
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2010026611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010026611
LICENSE
MO
Enumeration date
08/29/2006
Last updated
01/22/2021
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