Individual
DR. DALIA MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-1302
(135) 774-6413
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
(586) 493-8799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301110860
MI
2084N0400X
Neurology Physician
Primary
4301502880
MI
208D00000X
General Practice Physician
81232
GA
Other
Enumeration date
07/04/2016
Last updated
06/29/2022
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