NPI 1023080512

Mansour Miky, MD

Practitioner Physical Medicine & Rehabilitation Physician Marquette, MI

Practice location

Address: 1414 W Fair Ave Suite 204, Marquette, MI 49855-2675
Phone: (906) 225-7740
Mailing address: 2837 US Highway 41 W, Marquette, MI 49855-2252

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 4301082652 (MI)

Other Physical Medicine & Rehabilitation providers in Michigan →

Registry record

NPI: 1023080512
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2006
Record last updated: 20 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.