Dr. Jack Hudson Deckard, MD
Dr. Jack Hudson Deckard, MD is a Neurological Surgery Physician in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5150 N Port Washington Rd Ste 220Glendale, WI 53217-5474
Phone: (414) 961-0089
Fax: (414) 961-1043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X · Licence 24495 (WI) |
|---|
Record details
| NPI number | 1689618571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2006 |
| Last updated in NPPES | August 31, 2010 |
| Mailing address | 5150 N Port Washington Rd, Ste 220, Glendale, WI 53217-5474 |