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

MR. MACK HUGH SULLIVAN JR., MD

Active Sole Proprietor

MR. MACK HUGH SULLIVAN JR., MD is a Plastic Surgery healthcare provider located in TROY, Michigan. NPI 1780683151 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · TROY, MI

Registration Details

NPI Number
1780683151
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2005 (21.04555936244 yrs)
Last Updated
Jan 15, 2013
License
4301094101 (MI)
Sole Proprietor
Yes

Practice Information

Address
44199 DEQUINDRE RD.
SUITE 518
TROY, MI, 48085
Browse MI providers · Browse ZIP 48085
Phone
2485240640
Fax
2489940866
Primary Specialty
Plastic Surgery
208200000X

Other Plastic Surgery Providers in TROY, MI

Name Credential NPI
DR. ANDREW K GAVAGAN MD 1225011596
MICHAEL J BUSUITO M.D. 1427080407
DR. WILLIAM A STEFANI M.D. 1447266945
DR. STEVEN E STEIN MD 1679671416
DR. ANTHONY SUNGJIN YOUN M.D. 1164573424
DR. KONGKRIT CHAIYASATE MD 1467574467
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.