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Organization
MADISON MEDICAL CENTER PC
Active
Organization
MADISON MEDICAL CENTER PC
Active
Other names
Madison Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAM GUNABALAN MD (PRESIDENT)
(586) 573-6400
Entity
Organization
Contact information
Practice address
363 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-5220
(586) 573-6400
Mailing address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 583-8922
(248) 583-8969
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
MI
Other
Enumeration date
08/30/2007
Last updated
09/17/2007
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