OrganizationActive
Faiz Mansour, M.D., P.C.
NPI 1770769630 · Exclusive Provider Organization · Bloomfield Hills, MI
Provider details
- NPI number
- 1770769630
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Faiz Mansour, Owner(248) 334-3792
- License
- 4301059179 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
10 W Square Lake Rd
Suite 202
Bloomfield Hills, MI 48302-0465
Phone: (248) 452-9500
Approximate (ZIP-level) locationGet directions
Mailing address
10 W Square Lake Rd
Bloomfield Hills, MI 48302-0465
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.