Organization
IMAD MANSOOR MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IMAD MANSOOR MD (PRESIDENT)
(248) 840-4312
Entity
Organization
Contact information
Practice address
42557 WOODWARD AVE STE 110, BLOOMFIELD HILLS, MI 48304-5206
(248) 333-1170
Mailing address
42557 WOODWARD AVE STE 110, BLOOMFIELD HILLS, MI 48304-5206
(248) 333-1170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301407249
MI
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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