Dr. Mark L Decco
Allergist & Immunologist Pediatric Allergist
21300 Kelly Rd
Eastpointe
, Michigan 48021
Dr. Mark L Decco
Allergist & Immunologist Pediatric Allergist
21300 Kelly Rd
Eastpointe
, Michigan 48021
(586) 846-3074
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About
Features
Specialties
- Allergist & Immunologist
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Dr. Mark L Decco
- 17965 Hall Rd
- Macomb, MI
- Zip : 48044-4557
- Fax : (586) 846-3074
- Phone : (586) 846-3073
Second Address
- Dr. Mark L Decco
- 21300 Kelly Rd
- Eastpointe, MI
- Zip : 48021
- Fax : (586) 447-4208
- Phone : (586) 447-4200
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FAQs
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Is Dr. Mark L Decco a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 4301073354 | MI |
| N | 2080P0201X | Pediatric Allergist | 4301073354 | MI |
National Provider Identifier
| NPI | 1912083106 |
|---|---|
| Provider Name | Dr. Mark L Decco |
| First Address | Macomb, MI 48044-4557 |
| Second Address | Eastpointe, MI 48021 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 17/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G18962 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.