| Mackenzie Robert Fountain, DO | |
|
18181 Oakwood Blvd Ste 401, Dearborn, MI 48124-5031 | |
| (313) 593-7240 | |
| (313) 593-8899 |
| Full Name | Mackenzie Robert Fountain |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 18181 Oakwood Blvd Ste 401, Dearborn, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316520166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101027950 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Robert Fountain, DO 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Mackenzie Robert Fountain, DO 18181 Oakwood Blvd Ste 401, Dearborn, MI 48124-5031 Ph: (313) 593-7240 |
Mrs. Kingkhan Boriboon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3850 Pelham St, Dearborn, MI 48124 Phone: 313-562-9500 Fax: 313-562-7567 | |
Rannan Kased, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Schaefer Rd Ste 245255, Dearborn, MI 48126 Phone: 313-561-5100 Fax: 313-565-0309 | |
Dr. Doss Nicolas Doss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 5500 Auto Club Dr, Dearborn, MI 48126 Phone: 313-425-4700 | |
Saba Javaid, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-4400 | |
Kathleen B. Blumer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Phone: 313-982-8330 Fax: 313-982-8294 | |
Dr. Azmathullah Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4700 Greenfield Rd, Dearborn, MI 48126 Phone: 313-945-6100 Fax: 313-945-5260 | |
Dr. Alex Elsabbagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Telegraph Rd, Dearborn, MI 48128 Phone: 313-274-6666 Fax: 313-274-4466 |