Individual
ROOZBEH MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R ST STE 615, DETROIT, MI 48201-2022
(313) 745-8773
(313) 993-0595
Mailing address
4160 JOHN R ST STE 615, DETROIT, MI 48201-2022
(313) 745-8773
(313) 993-0595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01076835A
IN
208600000X
Surgery Physician
Primary
4301092120
MI
Other
Enumeration date
09/18/2009
Last updated
04/18/2019
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