Bayside Family & Sports Medicine PC
NPI #1629251129 in Petoskey, Michigan
Provider Information
- NPI Number
- 1629251129
- Entity Type
- Organization
- Organization Name
- Bayside Family & Sports Medicine PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 7, 2007
- Last Updated
- Apr 10, 2012
Practice Location
Authorized Official
- Name
- TODD EDWARD DECKER, MD
- Title
- OWNER/PRESIDENT
- Phone
- (231) 439-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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