JACK HUDSON DECKARD

GLENDALE, WI
NPI1689618571
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207T00000X Neurological Surgery
(Licence: WI  24495)
Enumeration Date2006-06-15
Last Update Date2010-08-31
Business Address
DR. JACK HUDSON DECKARD MD
5150 N PORT WASHINGTON RD STE 220
GLENDALE, WI 53217-5474
Phone number: 414-961-0089
Mailing Address
DR. JACK HUDSON DECKARD MD
5150 N PORT WASHINGTON RD STE 220
GLENDALE, WI 53217-5474
Phone number: 414-961-0089