Individual
SAIMABANU S MANSURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 W 13 MILE RD # 248, BEAUMONT CHRONIC DISEASE MANAGEMENT CLINIC, ROYAL OAK, MI 48073-6770
(248) 551-1515
(248) 551-1516
Mailing address
130 TOWN CENTER DR STE 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 48084-1744
(248) 585-8218
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301090163
MI
Other
Enumeration date
05/08/2008
Last updated
10/22/2020
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