Organization
ANKLE & FOOT CARE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSAM MANSOUR DPM (OWNER)
(248) 888-9500
Entity
Organization
Contact information
Practice address
38525 8 MILE RD, LIVONIA, MI 48152-1012
(248) 888-9500
Mailing address
39445 NORTHWIND CT, NORTHVILLE, MI 48167-3932
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002177
MI
Other
Enumeration date
01/04/2012
Last updated
06/14/2012
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