Organization
SENIOR CARE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED MANSOUR M.D (PRESIDENT)
(484) 431-0039
Entity
Organization
Contact information
Practice address
4241 MAPLE ST, SUITE 200C, DEARBORN, MI 48126-3826
(313) 506-1776
Mailing address
29122 CREEK BEND DR, FARMINGTON HILLS, MI 48331-2606
(313) 506-1776
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301105543
MI
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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