| Mack Advanced Center, LLC | |
|
7612 Gratiot Ave Ste 2 Detroit MI 48213-2822 | |
| (313) 548-3787 | |
| Not Available |
| Full Name | Mack Advanced Center, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 7612 Gratiot Ave Ste 2, Detroit, Michigan |
| Authorized Official Name and Position | Lakeisha Williams (OFFICE MANAGER) |
| Authorized Official Contact | 3135483787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mack Advanced Center, LLC 2751 E Jefferson Ave Ste 400 Detroit MI 48207-4105 Ph: (313) 444-1242 | Mack Advanced Center, LLC 7612 Gratiot Ave Ste 2 Detroit MI 48213-2822 Ph: (313) 548-3787 |
| NPI Number | 1134075880 |
|---|---|
| Provider Enumeration Date | 03/05/2026 |
| Last Update Date | 08/04/2026 |
| Certification Date | 08/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134075880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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