| J WM Decker Management LLC | |
|
290 Ronald St Cedar Springs MI 49319-9508 | |
| (517) 281-3107 | |
| Not Available |
| Full Name | J WM Decker Management LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 290 Ronald St, Cedar Springs, Michigan |
| Authorized Official Name and Position | Jonathan W Decker (OWNER /PHYSICIAN) |
| Authorized Official Contact | 5172813107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J WM Decker Management LLC 290 Ronald St Cedar Springs MI 49319-9508 Ph: (517) 281-3107 | J WM Decker Management LLC 290 Ronald St Cedar Springs MI 49319-9508 Ph: (517) 281-3107 |
| NPI Number | 1184231425 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184231425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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