Organization
KINGSWOOD INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZ MANSOUOR (PARTNER)
(248) 334-3136
Entity
Organization
Contact information
Practice address
43097 WOODWARD AVE, SUITE 204, BLOOMFIELD HILLS, MI 48302-5041
(248) 334-3136
(248) 334-3871
Mailing address
43097 WOODWARD AVE, SUITE 204, BLOOMFIELD HILLS, MI 48302-5041
(248) 334-3136
(248) 334-3871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
10/11/2007
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