Individual
DR. MOHAMED BOSHER MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21000 E 12 MILE RD STE 112, SAINT CLAIR SHORES, MI 48081-1156
(586) 772-5550
(586) 772-2470
Mailing address
50505 SCHOENHERR RD STE 290, SHELBY TOWNSHIP, MI 48315-3141
(586) 314-0080
(877) 673-3562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301109257
MI
208M00000X
Hospitalist Physician
35135917
OH
Other
Enumeration date
04/27/2016
Last updated
09/03/2025
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