Search › Wisconsin › Neurological Surgery Physician
Jack Deckard, MD
NPI 1689618571 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5150 N Port Washington Rd
Ste 220
Glendale, WI 53217 - Phone
- (414) 961-0089
- Fax
- (414) 961-1043
- Organisation at this address
- Paul D Mandel Md Sc
Glendale Dental Llc
Great Lakes Hospice Llc
Bruce Holmstrom D.D.S.,Sc
Neurological Surgery Consultants, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Neurological Surgery Physician
207T00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin