Jill Susanne Decker in Petoskey - Adolescent Medicine
Jill Susanne Decker - NPI 1922106301
Jill Susanne Decker is a Adolescent Medicine in Petoskey, Michigan. Jill Susanne Decker practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jill Susanne Decker is 1922106301. The last update date is 2007-10-12.
Jill Susanne Decker's current location address is 345 N Division Rd, Petoskey, Michigan. You can contact this provider via phone number 2313478382 and fax number 2313476628. The mailing address for Jill Susanne Decker is 345 N Division Rd, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Susanne Decker |
|---|---|
| Address | 345 N Division Rd, Petoskey, Michigan |
| Phone Number | 2313478382 |
| Fax Number | 2313476628 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922106301 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | 345 N Division Rd |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497709416 |
| Phone Number | 2313478382 |
| Fax Number | 2313476628 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 4301080589 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4440294 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jill Susanne Decker by the Centers for Medicare & Medicaid Services?
The Jill Susanne Decker has been assigned the NPI (National Provider Identifier) 1922106301 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jill Susanne Decker?
The Jill Susanne Decker is physically situated at 345 N Division Rd, in the city of Petoskey, state of MI, with the postal code 497709416.
What is Jill Susanne Decker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jill Susanne Decker is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
When did the Jill Susanne Decker receive its 1922106301?
The Jill Susanne Decker was issued its 1922106301 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Jill Susanne Decker's details last updated?
The information pertaining to the Jill Susanne Decker, including its address, specialty, and other details, was most recently updated on 2007-10-12.