Organization
MACK ADVANCED CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA WILLIAMS (OFFICE MANAGER)
(313) 548-3787
Entity
Organization
Contact information
Practice address
7612 GRATIOT AVE STE 2, DETROIT, MI 48213-2822
(313) 548-3787
Mailing address
2751 E JEFFERSON AVE STE 400, DETROIT, MI 48207-4105
(313) 444-1242
(313) 279-7126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
08/04/2026
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