Individual
PANY DECOSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3559 PINE STREET, DECKERVILLE, MI 48427-0126
(810) 376-2835
(810) 376-9713
Mailing address
PO BOX 126, DECKERVILLE, MI 48427-0126
(810) 376-2835
(810) 376-9713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
267123
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301083294
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4694760
—
MI
Enumeration date
10/23/2006
Last updated
05/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us