Organization
DAVID A DECKER MD
Active
Other names
CANCER CARE ASSOCIATES PC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WHITFIELD (MEDICAL SVCS MNGR)
(248) 997-9000
Entity
Organization
Contact information
Practice address
3577 W 13 MILE RD, STE 404, ROYAL OAK, MI 48073-6710
(245) 997-9000
(248) 997-9007
Mailing address
3577 W 13 MILE RD, STE 404, ROYAL OAK, MI 48073-6710
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
4301041127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367325
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/21/2006
Last updated
08/22/2020
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