Individual provider · Type 1 NPI

Mackenzie Robert Fountain, DO

Pediatrics Physician · Dearborn, MI

NPI number 1316520166 Active

Practice location

18181 Oakwood Blvd Ste 401
Dearborn, MI 48124-5031

Fax (313) 593-8899

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 7330 N Canton Center Rd Ste 216, Canton, MI 48187-1538 · (734) 454-8001

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X5101027950 (MI)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

4 other providers at this address

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About NPI 1316520166

Mackenzie Robert Fountain, DO's National Provider Identifier is 1316520166, issued on Apr 29, 2021. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Dearborn, MI. The record was last updated on Aug 5, 2025.