| Drs Decheck And Mataczynski Md Sc | |
|
3805b Spring St Suite250 Mount Pleasant WI 53405-1641 | |
| (262) 634-6679 | |
| (262) 634-7935 |
| Full Name | Drs Decheck And Mataczynski Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 3805b Spring St, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | James D Mataczynski (PRESIDENT) |
| Authorized Official Contact | 2626346679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Decheck And Mataczynski Md Sc 3805b Spring St Suite250 Mount Pleasant WI 53405-1641 Ph: (262) 634-6679 | Drs Decheck And Mataczynski Md Sc 3805b Spring St Suite250 Mount Pleasant WI 53405-1641 Ph: (262) 634-6679 |
| NPI Number | 1194892265 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194892265 | NPI | - | NPPES |
| 31598100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31067 (Wisconsin) | Primary |
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Mark E Decheck Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St Ste 250, Mount Pleasant, WI 53405 Phone: 262-687-8685 Fax: 262-634-7935 | |
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