MACKENZIE FOUNTAIN, DO

Pediatrics

Active Individual
NPI: 1316520166

Practice Address

18181 OAKWOOD BLVD STE 401
Dearborn, MI 48124

Phone: (313) 593-7240

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 5101027950 (MI)

Frequently Asked Questions

NPI 1316520166 is the National Provider Identifier for MACKENZIE FOUNTAIN, DO, a Pediatrics provider located in Dearborn, MI. This NPI was enumerated on April 29, 2021.
MACKENZIE FOUNTAIN, DO practices at 18181 OAKWOOD BLVD STE 401, Dearborn, MI 48124.

Quick Facts

NPI
1316520166
Type
Individual
Enumerated
Apr 29, 2021
Last Updated
Aug 5, 2025

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