Individual
SHAY MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 655, LANSING, MI 48912-1800
(517) 267-2460
Mailing address
1200 E MICHIGAN AVE, SUITE 655, LANSING, MI 48912-1800
(517) 267-2460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301103826
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2012
Last updated
12/17/2021
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