MR. MACK HUGH JR. SULLIVAN (MD) – Plastic Surgery Physician, NPI 1780683151

MR. MACK HUGH JR. SULLIVAN (MD) is a healthcare provider. based in Troy, Michigan. specializing in Plastic Surgery Physician. They hold the professional credentials MD. They hold a License No. 4301094101 (MI). The NPI Number for MR. MACK HUGH JR. SULLIVAN (MD) is 1780683151

Main info

Male
Sole Proprietor
Name
MR. MACK HUGH JR. SULLIVAN (MD)
NPI
1780683151
Phone
(248) 524-0640
Address
44199 DEQUINDRE RD.
Enumeration Date
19 July 2005
Last Update Date
15 January 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. MACK HUGH JR. SULLIVAN (MD)

  • 44199, Dequindre Road, Troy, Oakland County, Michigan, 48085, United States

    SUITE 518

    TROY, MI 48085

    Phone: (248) 524-0640

    Fax: (248) 994-0866

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48085)

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Reviews

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Frequently asked questions

How is MR. MACK HUGH JR. SULLIVAN (MD) identified in CMS data?
CMS-hosted NPPES data lists MR. MACK HUGH JR. SULLIVAN (MD) with NPI 1780683151.
Does the file indicate MR. MACK HUGH JR. SULLIVAN (MD) is practicing under active NPI?
Directory data currently reports MR. MACK HUGH JR. SULLIVAN (MD) as active.
What is MR. MACK HUGH JR. SULLIVAN (MD)'s specialty?
The listing groups MR. MACK HUGH JR. SULLIVAN (MD) with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MACK HUGH JR. SULLIVAN (MD)?
MR. MACK HUGH JR. SULLIVAN (MD)'s geographic hint is Troy, Michigan in our summary view.
Why does MR. MACK HUGH JR. SULLIVAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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