Individual
MR. RAFIK E MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8000
(248) 569-2600
Mailing address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601009062TMP
MI
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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