Mr. William Robert Decker
Foot & Ankle Surgery
1195 Wilson Nw
Grand Rapids
, Michigan 49534-6404
Mr. William Robert Decker
Foot & Ankle Surgery
1195 Wilson Nw
Grand Rapids
, Michigan 49534-6404
(616) 726-1492
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Mr. William Robert Decker
- 5175 Plainfield Ne
- Grand Rapids, MI
- Zip : 49525-1048
- Fax : (616) 726-1492
- Phone : (616) 453-0294
Second Address
- Mr. William Robert Decker
- 1195 Wilson Nw
- Grand Rapids, MI
- Zip : 49534-6404
- Fax : (616) 453-2002
- Phone : (616) 453-8277
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 5901000997 | MI |
National Provider Identifier
| NPI | 1023046844 |
|---|---|
| Provider Name | Mr. William Robert Decker |
| First Address | Grand Rapids, MI 49525-1048 |
| Second Address | Grand Rapids, MI 49534-6404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 10/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1266510001 | ADMINISTAR (01) | MI |
| 3506776 | (05) | MI |
| 480026385 | RAILROAD MEDICARE (01) | MI |
| T34007 | (02) | MI |
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.