Individual
DR. DEVONE MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
311 MACK AVE FL 5, DETROIT, MI 48201-2466
(313) 832-0500
Mailing address
311 MACK AVE FL 5, DETROIT, MI 48201-2466
(313) 966-1008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101020570
MI
Other
Enumeration date
06/26/2013
Last updated
07/05/2019
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