Individual
JONATHAN STEPHEN MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49857 SPLIT ROCK RD, MACOMB, MI 48044-1586
(248) 320-1170
Mailing address
49857 SPLIT ROCK RD, MACOMB, MI 48044-1586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038962
MI
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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