NPI 1922275478 · live from the CMS NPI Registry
Advanced Foot & Ankle Care Center 2 PLLC
Podiatrist, Foot & Ankle Surgery in Royal Oak, MI. National Provider Identifier 1922275478, active.
NPI record
| NPI | 1922275478 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 5130 Coolidge Hwy, C/O Royal Oak Medical Center, Royal Oak, MI 48073 |
| Practice phone | 248-288-9500 |
| Mailing address | 24230 Karim Blvd, Ste #140, Novi, MI 48375 |
| Enumerated | May 14, 2008 |
| Last updated | May 14, 2008 |
| Authorized official | Issam Mansour, Owner/Podiatrist |
| Other names | Issam N. Mansour Dpm |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 5901002177 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.