Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie Robert Fountain, DO

Individual provider Pediatrics Physician · NPI 1316520166

Mackenzie Robert Fountain, DO is a Pediatrics Physician in Dearborn, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

18181 Oakwood Blvd Ste 401
Dearborn, MI 48124-5031
Phone: (313) 593-7240
Fax: (313) 593-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7330 N Canton Center Rd Ste 216, Canton, MI 48187-1538 — (734) 454-8001

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 5101027950 (MI)

Record details

NPI number1316520166
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

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