Mackey, Mark D

Mackey, Mark D is an individual health care provider with primary practice located at 6621 W Maple Rd , W Bloomfield MI 48322-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mackey, Mark D can be contacted via phone (248) 661-4700.

Contact Information

Primary practice address
6621 W Maple Rd W Bloomfield MI 48322-3004
Phone: (248) 661-4700
Fax: (248) 661-6210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MM059872 Michigan

Profile Details

NPI number 1003890187
LBN Legal business name Mackey, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Dec 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003890187 NPPES
Michigan MEDICAID 3410648-10

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