Organization
SHAPOOR S ANSARI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAPOOR S ANSARI M.D (M.D)
(734) 243-4000
Entity
Organization
Contact information
Practice address
2590 N MONROE ST, MONROE, MI 48162-4206
(734) 243-4000
(734) 243-4003
Mailing address
2590 NORTH MONROE ST, MONROE, MI 48162-4206
(734) 243-4003
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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