# MICHIGAN VISITING PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841433588
- **Authorized official:** RAM GUNABALAN MD (MANAGER)
- **Authorized official phone:** (248) 619-9771

## Contact information

- **Practice address:** 25650 OUTER DR, SUITE 401, LINCOLN PARK, MI 48146-2096
- **Practice address phone:** (313) 383-7147
- **Practice address fax:** (313) 383-7163
- **Mailing address:** 363 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-5220
- **Mailing address phone:** (248) 619-9771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2009
- **Last updated:** 05/21/2009