SARMAD AL-MANSOUR, MD, PC
Osteopathic Medicine at Lahser Rd, Southfield, MI

License number
Michigan SA053934
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: DR. SARMAD J AL-MANSOUR M.D.
Title: OWNER
Phone: (248) 353-4777
Address
Address 2
22972 Lahser Rd, Southfield, MI 48033
8889 Lamont St, Livonia, MI 48150
National Provider ID: 1780850560
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SARMAD AL-MANSOUR, M.D., PC

Livonia, MI

Status:
Inactive
Registration:
Sep 13, 2006
Addresses:
8889 Lamont St, Livonia, MI 48150 (Physical)
Michigan (Mailing)
State ID:
00115P
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2014
Agent:
Sarmad Jesus Al-Mansour Md

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