Individual
SUNDU MANSARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5351 MITCHAW RD, SYLVANIA, OH 43560
(567) 455-3280
Mailing address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(833) 578-2763
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022096380
OH
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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