Individual
MACKENZIE RAE DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8399
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8399
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5151017894
MI
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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