Individual
DR. HUSSEIN MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3565 FAIRLANE DR, ALLEN PARK, MI 48101-2876
(313) 686-8666
Mailing address
3565 FAIRLANE DR, ALLEN PARK, MI 48101-2876
(313) 686-8666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040862
MI
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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