Search › Michigan › 101YP2500X
Desmond Mack
NPI 1053058800 · on the registry since 2022 · sole proprietor
Practice
- Address
- 20411 W 12 Mile Rd Ste 104
Southfield, MI 48076 - Phone
- (248) 617-7545
- Organisation at this address
- Tiffany M. Boards
Advancedmed Dme Llc
Adv Medical Equipment, Llc
Intentional Home Healthcare
Medical Evaluations And Testing P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Sex
- Male
- Record last updated
- 2022-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan