DR. Jack Hudson Deckard, MD

NPI #1689618571 in Glendale, Wisconsin

Provider Information

NPI Number: 1689618571
Entity Type: Individual
Name: DR. Jack Hudson Deckard, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Neurological Surgery
Credential: MD
Enumeration Date: Jun 15, 2006
Last Updated: Aug 31, 2010

Practice Location

Address: 5150 N PORT WASHINGTON RD
Address 2: STE 220
City: Glendale
State: Wisconsin
ZIP Code: 53217-5474
Phone: (414) 961-0089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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