Faiz Mansour, M.d., P.c.

NPI 1770769630 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1770769630
Enumeration Date 01/10/2008
Last Updated 05/20/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FAIZ FAIZ
Position OWNER
Phone (248) 452-9500
Fax
Practice Location
10 W SQUARE LAKE RD
SUITE 202
BLOOMFIELD HILLS MI, 48302-0465, US
Phone (248) 452-9500
Fax
Business Location
10 W SQUARE LAKE RD
202
BLOOMFIELD HILLS MI, 48302-0465, US
Phone (248) 452-9500
Fax
Toxanomy
Taxonomy Code 302F00000X
License State Michigan
License Number 4301059179
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According to our database, Faiz Mansour, M.d., P.c. NPI is 1770769630, taxonomy code is 302F00000X and license number is 4301059179, license state is located at Michigan. Faiz Mansour, M.d., P.c. physically located at 10 W Square Lake Rd, Bloomfield Hills MI, 48302-0465. NPI Number 1033115704 has the healthcare provider type.

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1770769630 NPI number is provided on an as is basis without warranty of any kind. 1770769630 is maintained by the National Plan & Provider Enumeration System. The contents of Faiz Mansour, M.d., P.c. are for informational purposes only.