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Contact Information

ALYSSA DECKER, DO
2165 WHITE BEAR AVE N
MAPLEWOOD, MN55109-2707
 Phone: 651-523-9800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALYSSA DECKER · (Female)

NPI Number 1104447218
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/29/2020
Last updated 08/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.075864
  • MN License # 74929
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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