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

Mr. Mack Hugh Sullivan Jr., MD

Individual provider Plastic Surgery Physician · NPI 1780683151

Mr. Mack Hugh Sullivan Jr., MD is a Plastic Surgery Physician in Troy, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44199 Dequindre Rd Ste 518
Troy, MI 48085
Phone: (248) 524-0640
Fax: (248) 994-0866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4301094101 (MI)

Record details

NPI number1780683151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 19, 2005
Last updated in NPPESJanuary 15, 2013

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