Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Mansoor

Individual provider Family Medicine Physician · NPI 1902694193

Jason Mansoor is a Family Medicine Physician in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone: (810) 606-5985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5151017179 (MI)

Record details

NPI number1902694193
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address5545 Greenbriar Dr, West Bloomfield, MI 48322-1400

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