Organization
MACOMB PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHADI H MANSOUR M.D. (OWNER/PRESIDENT)
(586) 323-0301
Entity
Organization
Contact information
Practice address
39915 GRAND RIVER AVENUE, SUITE # 750, NOVI, MI 48375-2153
(248) 476-7775
(248) 987-4972
Mailing address
43393 SCHOENHERR ROAD, STERLING HEIGHTS, MI 48313-1959
(586) 323-0301
(586) 323-0341
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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