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Jonathan Mansour

NPI 1669339693 · on the registry since 2026 · sole proprietor

Practice

Address
49857 Split Rock Rd
Macomb, MI 48044
Phone
(248) 320-1170

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan