Organization
SOUTHFIELD PREMIER PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFID MANSOUR MD (MEDICAL DIRECTOR/PHYSICIAN)
(248) 559-2280
Entity
Organization
Contact information
Practice address
17070 W 12 MILE RD STE A, SOUTHFIELD, MI 48076-2116
(248) 559-2280
(248) 559-3752
Mailing address
17070 W 12 MILE RD STE A, SOUTHFIELD, MI 48076-2116
(248) 559-2280
(248) 559-3752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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