# ADVANCED FOOT & ANKLE CARE CENTER 2 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ISSAM N. MANSOUR DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922275478
- **Authorized official:** DR. ISSAM N MANSOUR DPM (OWNER/PODIATRIST)
- **Authorized official phone:** (248) 888-9500

## Contact information

- **Practice address:** 5130 COOLIDGE HWY, C/O ROYAL OAK MEDICAL CENTER, ROYAL OAK, MI 48073-1001
- **Practice address phone:** (248) 288-9500
- **Practice address fax:** (248) 288-0044
- **Mailing address:** 24230 KARIM BLVD, STE \#140, NOVI, MI 48375-2953
- **Mailing address phone:** (248) 888-9500
- **Mailing address fax:** (248) 888-9504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901002177 | MI | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008