Individual
DR. MARK L DECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21300 KELLY RD, EASTPOINTE, MI 48021
(586) 447-4200
(586) 447-4208
Mailing address
17965 HALL RD, MACOMB, MI 48044-4557
(586) 846-3073
(586) 846-3074
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301073354
MI
2080P0201X
Pediatric Allergy/Immunology Physician
4301073354
MI
Other
Enumeration date
10/31/2006
Last updated
04/17/2018
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