NPI | 1922275478 |
---|---|
Other Name | ISSAM N. MANSOUR DPM |
Entity Type | Organization |
Authorized Contact | ISSAM N MANSOUR Owner/Podiatrist 248-888-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002177) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-05-14 |