Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mack Advanced Center, LLC

Organization Family Medicine Physician · NPI 1134075880

Mack Advanced Center, LLC provides Family Medicine Physician services in Detroit, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7612 Gratiot Ave Ste 2
Detroit, MI 48213-2822
Phone: (313) 548-3787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1134075880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakeisha Williams — Office Manager · (313) 548-3787
NPI enumeratedMarch 5, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address2751 E Jefferson Ave Ste 400, Detroit, MI 48207-4105

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