IndividualActive
Alyssa Decker, DO
NPI 1104447218 · Pediatrics Physician · Maplewood, MN
Provider details
- NPI number
- 1104447218
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 74929 (MN)
Practice location
2165 White Bear Ave N
Maplewood, MN 55109-2707
Phone: (651) 523-9800
Mailing address
530 Ne Glen Oak Ave
Peoria, IL 61637-0001
Registry dates
- Enumerated
- 2020-04-29
- Last updated
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.