Individual
MRS. MELISSA ANN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
6501 GREENFIELD RD, DETROIT, MI 48228-4780
(313) 885-6833
Mailing address
121 WOODCREEK CT, COMMERCE TWP, MI 48390-1272
(248) 904-6816
(248) 561-9610
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704259890
MI
Other
Enumeration date
10/20/2011
Last updated
05/13/2026
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