Individual
MR. MICHAEL FUAD MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
1821 30TH ST S, SAINT CLOUD, MN 56301-9029
(320) 253-1256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5629
MN
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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