Organization
ADVANCED FOOT & ANKLE CARE CENTER PLLC
Active
Other names
ISSAM N MANSOUR DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISSAM N. MANSOUR DPM (OWNER)
(248) 888-9500
Entity
Organization
Contact information
Practice address
24230 KARIM BLVD, STE 140, NOVI, MI 48375-2953
(248) 888-9500
(248) 888-9504
Mailing address
24230 KARIM BLVD, STE 140, NOVI, MI 48375-2953
(248) 888-9500
(248) 888-9504
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002177
MI
Other
Enumeration date
05/14/2008
Last updated
03/09/2009
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