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Organization

ADVANCED FOOT & ANKLE CARE CENTER 2 PLLC

Active
Other names
ISSAM N. MANSOUR DPM
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ISSAM N MANSOUR DPM (OWNER/PODIATRIST)
(248) 888-9500
Entity
Organization

Contact information

Practice address
5130 COOLIDGE HWY, C/O ROYAL OAK MEDICAL CENTER, ROYAL OAK, MI 48073-1001
(248) 288-9500
(248) 288-0044
Mailing address
24230 KARIM BLVD, STE #140, NOVI, MI 48375-2953
(248) 888-9500
(248) 888-9504

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002177
MI

Other

Enumeration date
05/14/2008
Last updated
05/14/2008
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