Joshua Robert Decker DPM

NPI 1639341365 - Podiatrist - 213ES0103X

NPI Details
NPI 1639341365
Gender Male
Enumeration Date 04/02/2008
Last Updated 09/29/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
1195 WILSON AVE NW
GRAND RAPIDS MI, 49534-3493, US
Phone (616) 453-8277
Fax (616) 453-2002
Business Location
4540 KALAMAZOO AVE SE
KENTWOOD MI, 49508-4625, US
Phone (616) 281-0666
Fax (616) 281-0752
Toxanomy
Taxonomy Code 213ES0103X
License State Michigan
License Number 5901002241
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According to our database, Dr. Joshua Robert Decker DPM NPI is 1639341365, taxonomy code is 213ES0103X and license number is 5901002241, license state is located at Michigan. Joshua Robert Decker DPM physically located at 1195 Wilson Ave Nw, Grand Rapids MI, 49534-3493. NPI Number Joshua Robert Decker DPM has the Individual type.

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1639341365 NPI number is provided on an as is basis without warranty of any kind. 1639341365 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Robert Decker DPM are for informational purposes only.