# SENIOR CARE PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164812582
- **Authorized official:** DR. MOHAMED MANSOUR M.D (PRESIDENT)
- **Authorized official phone:** (484) 431-0039

## Contact information

- **Practice address:** 4241 MAPLE ST, SUITE 200C, DEARBORN, MI 48126-3826
- **Practice address phone:** (313) 506-1776
- **Mailing address:** 29122 CREEK BEND DR, FARMINGTON HILLS, MI 48331-2606
- **Mailing address phone:** (313) 506-1776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301105543 | MI | Yes |

## Other

- **Enumeration date:** 01/24/2015
- **Last updated:** 01/24/2015
