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1962045161
MICHIGANS PREMIER FOOT AND ANKLE PLLC
DEARBORN, MI
NPI
1962045161
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Entity Type
Organization
Authorized Contact
ALAA MANSOUR
Sole Member
630-808-9939
Organization Subpart ?
No
Primary Taxonomy
213ES0103X Podiatrist Foot & Ankle Surgery
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
MICHIGANS PREMIER FOOT AND ANKLE PLLC
17000 EXECUTIVE PLAZA DR STE 101
DEARBORN, MI 48126-2793
Phone number: 313-565-4948
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Mailing Address
MICHIGANS PREMIER FOOT AND ANKLE PLLC
5861 DEEPWOOD CT
CLARKSTON, MI 48346-3168
Phone number:
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