Organization · Type 2 NPI

Mack Advanced Center, LLC

Family Medicine Physician · Detroit, MI

NPI number 1134075880 Active

Practice location

7612 Gratiot Ave Ste 2
Detroit, MI 48213-2822

Mailing address

2751 E Jefferson Ave Ste 400
Detroit, MI 48207-4105

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1134075880

Mack Advanced Center, LLC's National Provider Identifier is 1134075880, issued on Mar 5, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 4, 2026.