Melissa Deckard

NPI #1679753263 in Pine River, Minnesota

Provider Information

NPI Number: 1679753263
Entity Type: Individual
Name: Melissa Deckard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Nov 12, 2007
Last Updated: Nov 12, 2007

Practice Location

Address: 530 2ND ST SW
City: Pine River
State: Minnesota
ZIP Code: 56474-4019
Phone: (601) 669-0848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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