MR. MACK SULLIVAN JR., MD

Plastic Surgery

Active Individual
NPI: 1780683151

Practice Address

44199 DEQUINDRE RD.
SUITE 518
Troy, MI 48085

Phone: (248) 524-0640

Specialties

Specialty Code Primary License
Plastic Surgery 208200000X Yes 4301094101 (MI)

Frequently Asked Questions

NPI 1780683151 is the National Provider Identifier for MR. MACK SULLIVAN JR., MD, a Plastic Surgery provider located in Troy, MI. This NPI was enumerated on July 19, 2005.
MR. MACK SULLIVAN JR., MD practices at 44199 DEQUINDRE RD., SUITE 518, Troy, MI 48085.

Quick Facts

NPI
1780683151
Type
Individual
Enumerated
Jul 19, 2005
Last Updated
Jan 15, 2013

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