Individual
MR. GEORGE NAZAR MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6914 WING LAKE RD, BLOOMFIELD HILLS, MI 48301-2960
(248) 626-1155
Mailing address
6914 WING LAKE RD, BLOOMFIELD HILLS, MI 48301-2960
(248) 626-1155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021880
MI
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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