Individual
DAVID G DECOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER, MADISON, WI 53715-1830
(608) 260-2900
Mailing address
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER, MADISON, WI 53715-1830
(608) 260-2900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17943-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177
DEAN HEALTH INSURANCE
WI
05
—
30307000
—
WI
Enumeration date
06/14/2006
Last updated
01/20/2010
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