Individual
MICHAEL MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
669 LOOKOUT ST, PONTIAC, MI 48342-2947
(248) 251-2557
(888) 830-8396
Mailing address
PO BOX 175, BLOOMFIELD HILLS, MI 48303-0175
(248) 251-2557
(888) 830-8396
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
MI
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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