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Dr. Jill Susanne Decker, MD
Pediatric Adolescent Medicine Physician in Petoskey, Michigan
NPI 1922106301

Jill Susanne Decker is a Pediatric Adolescent Medicine Physician based in Petoskey, MI and is specialized in Adolescent Medicine. Jill Susanne Decker practices in Petoskey, MI and has the professional credentials of MD. The NPI Number for Jill Susanne Decker is 1922106301 and holds a License No. 4301080589 (Michigan).

The current practice location address for Jill Susanne Decker is 345 N Division Rd, Petoskey, MI and can be reached out via phone at 231-347-8382 and via fax at 231-347-6628.

Location: 345 N Division Rd, Petoskey, MI, 49770-9416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922106301
Provider Name
Jill Susanne Decker
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
345 N Division Rd, Petoskey, MI, 49770-9416
Phone Number
231-347-8382
Fax Number
231-347-6628
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4440294 05 MI
institution
Provider Business Practice Location Address Details
Address
345 N Division Rd
City
Petoskey
State
Michigan
Zip
49770-9416
Phone Number
231-347-8382
Fax Number
231-347-6628
person
Provider Business Mailing Address Details
Address
345 N Division Rd
City
Petoskey
State
Michigan
Zip
49770-9416
Phone Number
231-347-8382
Fax Number
231-347-6628
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
4301080589 (Michigan)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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