Individual
MANSOUR MOHAMED ISSAM MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5000
Mailing address
4965 HEATHER DR APT 202, DEARBORN, MI 48126-4175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.016312
OH
207P00000X
Emergency Medicine Physician
Primary
5151014003
MI
Other
Enumeration date
06/18/2019
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us