Individual
DR. WILLIAM CLARK DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
777 KIMOLE LN STE 100, ADRIAN, MI 49221-1400
(517) 265-3411
(517) 263-7694
Mailing address
777 KIMOLE LN STE 100, ADRIAN, MI 49221-1400
(517) 265-3411
(517) 263-7694
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34.008398
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5101009355
MI
207RP1001X
Pulmonary Disease Physician
34.008398
OH
207RP1001X
Pulmonary Disease Physician
Primary
5101009355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03877
PARAMOUNT HEALTHCARE
MI
01
—
1154600085
BCBSM
MI
05
—
2032884
—
OH
05
—
2649747
—
MI
Enumeration date
06/14/2005
Last updated
11/03/2023
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