Dr. Jill Susanne Decker
M.D. | Pediatric Adolescent Medicine | Female
Dr. Jill Susanne Decker, M.D. is a Petoskey, Michigan based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Jill Susanne Decker is
345 N Division Rd, Suite D, Petoskey, Michigan - 49770-9416. She can be contacted on phone at
231-347-8382 and fax number 231-347-6628.
Dr. Jill Susanne Decker is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jill Susanne Decker is
1922106301 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 12 Oct, 2007.
Dr. Jill Susanne Decker license number is
4301080589 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
Dr. Jill Susanne Decker 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.
Complete Profile:
Dr. Jill Susanne Decker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Jill Susanne Decker |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Jill Susanne Decker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 345 N Division Rd, Suite D
Petoskey, MI, 49770-9416
United States |
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| Phone Number : | 231-347-8382 |
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| Fax Number : | 231-347-6628 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1922106301 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 12 Oct, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jill Susanne Decker are as mentioned. Primary taxonomy code for Dr. Jill Susanne Decker, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 4301080589 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jill Susanne Decker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 4440294 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 345 N Division Rd, Suite D
Petoskey, MI, 49770-9416
United States |
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| Phone Number : | 231-347-8382 |
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| Fax Number : | 231-347-6628 |
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Business Location:
Patients can refer following map for directions to
Dr. Jill Susanne Decker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.