Mr Mack Hugh Sullivan Jr, MD - Plastic Surgery in Troy, MI

Mr Mack Hugh Sullivan Jr, MD is a Plastic Surgery physician based in Troy, Michigan. Mr Mack Hugh Sullivan Jr is licensed to practice in Michigan (license number 4301094101) and his current practice location is 44199 Dequindre Rd., Suite 518, Troy, Michigan. He can be reached at his office (for appointments etc.) via phone at (248) 524-0640.

NPI number for Mr Mack Hugh Sullivan Jr is 1780683151 and his current mailing address is 44199 Dequindre Rd., Suite 518, Troy, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780683151.

Contact Information

Mr Mack Hugh Sullivan Jr, MD
44199 Dequindre Rd., Suite 518,
Troy, MI 48085
(248) 524-0640
(248) 994-0866

Map and Direction




Physician's Profile

Full NameMr Mack Hugh Sullivan Jr
GenderMale
SpecialityPlastic Surgery
Location44199 Dequindre Rd., Troy, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780683151
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 01/15/2013

Medical Identifiers

Medical identifiers for Mr Mack Hugh Sullivan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780683151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 4301094101 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mack Hugh Sullivan Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mack Hugh Sullivan Jr, MD
44199 Dequindre Rd., Suite 518,
Troy, MI 48085

Ph: (248) 524-0640
Mr Mack Hugh Sullivan Jr, MD
44199 Dequindre Rd., Suite 518,
Troy, MI 48085

Ph: (248) 524-0640

Reviews and Comments


Plastic Surgery Doctors in Troy, MI

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