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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL MACK

Active Sole Proprietor

MICHAEL MACK is a Foster Care Agency healthcare provider located in PONTIAC, Michigan. NPI 1336012426 is currently active in the NPPES registry. Verify at CMS.

Foster Care Agency · PONTIAC, MI

Registration Details

NPI Number
1336012426
Provider Type
Individual
Gender
Male
NPI Issued
Sep 25, 2025 (0.91027585951874 yrs)
Last Updated
Sep 25, 2025
Sole Proprietor
Yes

Practice Information

Address
669 LOOKOUT ST
PONTIAC, MI, 483422947
Browse MI providers · Browse ZIP 48342
Phone
2482512557
Fax
8888308396
Primary Specialty
Foster Care Agency
253J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.