Individual
MAHSAW MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-11895
IA
207W00000X
Ophthalmology Physician
Primary
4301510919
MI
207W00000X
Ophthalmology Physician
R-11895
IA
Other
Enumeration date
06/01/2020
Last updated
07/08/2024
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