| NPI | 1760057087 |
|---|---|
| Doing Business As | DECK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KATHY L. HAVLICEK President 402-525-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |