FAIZ MANSOUR, M.D., P.C.
Managed Care Organizations at Square Lake Rd, Bloomfield, MI

License number
Michigan 4301059179
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: FAIZ MANSOUR
Title: OWNER
Phone: (248) 334-3792
Address
Address
10 W Square Lake Rd SUITE 202, Bloomfield, MI 48302
National Provider ID: 1770769630
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FAIZ MANSOUR, M.D., P.C. at bizstanding.com

FAIZ MANSOUR, M.D., PC

Bloomfield, MI

Status:
Inactive
Industry:
Internist
Doing business as:
Faiz Mansour MD<br>Faiz Mansour MD,MBBS
Registration:
Jul 20, 2000
Phone:
(248) 452-9500 (Phone)
Addresses:
10 W Sq Lk Rd STE 202, Bloomfield Hills, MI 48302 (Physical)
Michigan (Mailing)
State ID:
40627A
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2013
Faiz Wahid Jarjis Mansour
Agent:
Faiz Mansour
Categories:
Internal Medicine Physicians & Surgeons
Specialties:
Internal Medicine
Payment options:
American Express, Visa

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