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Contact Information

MARK L DECCO, MD
21300 KELLY RD
EASTPOINTE, MI48021
 Phone: 586-447-4200
 Fax: 586-447-4208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK L DECCO · (Male)

NPI # 1912083106
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2006
Last updated 04/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301073354
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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