Mark D Mackey
Orthopaedic Surgeon
6621 W Maple Rd
W Bloomfield
, Michigan 48322-3004
Mark D Mackey
Orthopaedic Surgeon
6621 W Maple Rd
W Bloomfield
, Michigan 48322-3004
(248) 626-1874
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Mark D Mackey
- 4158 Southmoor Ln
- W Bloomfield, MI
- Zip : 48323-3127
- Phone : (248) 626-1874
Second Address
- Mark D Mackey
- 6621 W Maple Rd
- W Bloomfield, MI
- Zip : 48322-3004
- Fax : (248) 661-6210
- Phone : (248) 661-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | MM059872 | MI |
National Provider Identifier
| NPI | 1003890187 |
|---|---|
| Provider Name | Mark D Mackey |
| First Address | W Bloomfield, MI 48323-3127 |
| Second Address | W Bloomfield, MI 48322-3004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2005 |
| Last Update Date | 18/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3410648-10 | (05) | MI |
| G48840 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.