MANSOUR MOHAMED ISSAM MANSOUR

TAYLOR, MI
NPI1366002735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5151014003)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: OH  34.016312)
Enumeration Date2019-06-18
Last Update Date2023-06-15
Business Address
MANSOUR MOHAMED ISSAM MANSOUR DO
10000 TELEGRAPH RD
TAYLOR, MI 48180-3330
Phone number: 313-295-5000
Mailing Address
MANSOUR MOHAMED ISSAM MANSOUR DO
4965 HEATHER DR APT 202
DEARBORN, MI 48126-4175
Phone number:
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