NPI Lookup
NPPES Search
Providers by State
Blog
*Home
1689618571
JACK HUDSON DECKARD
GLENDALE, WI
NPI
1689618571
Copy
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: WI 24495)
Enumeration Date
2006-06-15
Last Update Date
2010-08-31
Business Address
DR. JACK HUDSON DECKARD MD
5150 N PORT WASHINGTON RD STE 220
GLENDALE, WI 53217-5474
Phone number: 414-961-0089
Copy
Mailing Address
DR. JACK HUDSON DECKARD MD
5150 N PORT WASHINGTON RD STE 220
GLENDALE, WI 53217-5474
Phone number: 414-961-0089
Copy