Joel R Dekoning, MD
Obstetrics & Gynecology in Wausau, WI. Individual provider (NPI-1).
NPI number1689772436
StatusActive
Last updated in NPPESSep 13, 2010
Details
- NPI
- 1689772436
- Entity type
- Individual (NPI-1)
- Name
- Joel R Dekoning
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Sep 13, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 19412 | WI | Yes |
Practice location
412 Crescent DrWausau, WI 54401-2629
Phone 715-675-6334
Mailing address
412 Crescent DrWausau, WI 54401-2629
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Obstetrics & Gynecology Physician providers in Wausau · All 2,366 providers in Wausau
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