Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK HUDSON DECKARD, MD
Active Sole ProprietorDR. JACK HUDSON DECKARD, MD is a Neurological Surgery healthcare provider located in GLENDALE, Wisconsin. NPI 1689618571 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · GLENDALE, WI
Registration Details
- NPI Number
- 1689618571
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.182702629718 yrs)
- Last Updated
- Aug 31, 2010
- License
-
24495 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5150 N PORT WASHINGTON RDSTE 220GLENDALE, WI, 532175474Browse WI providers · Browse ZIP 53217
- Phone
- 4149610089
- Fax
- 4149611043
- Primary Specialty
-
Neurological Surgery
207T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.