ADVANCED FOOT & ANKLE CARE CENTER PLLC NPI 1144497694

NPI Information

ADVANCED FOOT & ANKLE CARE CENTER PLLC is a foot and ankle surgery podiatrist in Novi, MI. ADVANCED FOOT & ANKLE CARE CENTER PLLC NPI is 1144497694. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Issam N Mansour Dpm.

The provider's business location address is:

24230 KARIM BLVD
STE 140
NOVI, MI
ZIP 48375-953
Phone: (248) 888-9500
Fax: (248) 888-9504

The provider's authorized official is Issam N. Mansour .
The authorized official title is Owner and has the following contact phone number (248) 888-9500.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 3/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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