William Robert Decker in Grand Rapids - Foot & Ankle Surgery

William Robert Decker - NPI 1023046844

William Robert Decker is a Foot & Ankle Surgery in Grand Rapids, Michigan. William Robert Decker practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for William Robert Decker is 1023046844. The last update date is 2014-11-10.

William Robert Decker's current location address is 1195 Wilson Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6164538277 and fax number 6164532002. The mailing address for William Robert Decker is 1195 Wilson Nw, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name William Robert Decker
Address 1195 Wilson Nw, Grand Rapids, Michigan
Phone Number 6164538277
Fax Number 6164532002
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1023046844
Provider Enumeration Date 2006-06-29
Last Updated Date 2014-11-10

Provider Mailing Address Detail

Address 1195 Wilson Nw
City Grand Rapids
State Michigan (MI)
Post Code 4953464040
Phone Number 6164538277
Fax Number 6164532002

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 5901000997
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480026385 MI RAILROAD MEDICARE
3506776 MI --
1266510001 MI ADMINISTAR

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FAQs about William Robert Decker

What is the unique 10-digit identification code assigned to William Robert Decker by the Centers for Medicare & Medicaid Services?

The William Robert Decker has been issued the NPI (National Provider Identifier) 1023046844, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of William Robert Decker?

The William Robert Decker is physically situated at 1195 Wilson Nw, in the city of Grand Rapids, state of MI, with the postal code 4953464040.

What is William Robert Decker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The William Robert Decker's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.

On what date was the 1023046844 assigned to William Robert Decker?

The William Robert Decker was issued its 1023046844 on 2006-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding William Robert Decker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to William Robert Decker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-10.

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