Mack Sullivan, MD

Individual Active
NPI 1780683151
Plastic Surgery Physician Troy, MI

Mack Sullivan, MD holds NPI 1780683151, with a primary taxonomy of plastic surgery physician and a practice location in Troy, MI. The number was issued on July 19, 2005 and the NPPES record was last updated on January 15, 2013.

This record hasn't been updated in NPPES since 2013. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000X 4301094101 (MI)

Practice location

44199 Dequindre Rd.
Suite 518
Troy, MI 48085
Phone: (248) 524-0640

Local context

Active NPPES records list 114 providers with plastic surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 62 of them within 10 miles.

The same primary taxonomy is listed by 269 in Michigan and 8,845 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Mack Hugh Sullivan Jr.
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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