Mansour, Marlene Tejano

Mansour, Marlene Tejano is an individual health care provider with primary practice located at 43134 Dequindre Rd , Sterling Hts MI 48314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mansour, Marlene Tejano can be contacted via phone (586) 739-5000.

Contact Information

Primary practice address
43134 Dequindre Rd Sterling Hts MI 48314
Phone: (586) 739-5000
Fax: (586) 739-5551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301063082 Michigan

Profile Details

NPI number 1912966623
LBN Legal business name Mansour, Marlene Tejano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912966623 NPPES
Michigan Other 3506326422 BLUE CROSS

Popular Providers