| NPI | 1144497694 |
|---|---|
| Other Name | ISSAM N MANSOUR DPM |
| Entity Type | Organization |
| Authorized Contact | ISSAM N. MANSOUR Owner 248-888-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002177) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2009-03-09 |