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MR. MACK HUGH SULLIVAN JR. MD
NPI 1780683151
Plastic Surgery in Troy, MI

Active since July 19, 2005
44199 DEQUINDRE RD., SUITE 518, TROY, MI 48085(248) 524-0640(248) 994-0866 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mack Hugh Sullivan Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MACK HUGH SULLIVAN JR. MD (NPI 1780683151) is an individual plastic surgery provider in Troy, Michigan, licensed in Michigan (4301094101) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1780683151
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. MACK HUGH SULLIVAN JR.Credential: MD
Location Address44199 DEQUINDRE RD., SUITE 518Troy, MI 48085
Mailing Address44199 Dequindre Rd., Suite 518Troy, MI 48085 · (248) 524-0640 · Fax (248) 994-0866
Phone(248) 524-0640
Fax(248) 994-0866
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateJanuary 15, 2013
✔ NPI 1780683151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · 4301094101
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
44199 DEQUINDRE RD., Troy, MI 48085
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Other Identifiers 2

Medicare UPING30816MI
Medicare UPING30816

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mack Sullivan's NPI number?

The NPI number for Mack Sullivan is 1780683151. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Mack Sullivan located?

Mack Sullivan practices at 44199 Dequindre Rd. Suite 518, Troy, MI 48085. The listed phone number is (248) 524-0640.

What is Mack Sullivan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Mack Sullivan was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.