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Organization
MICHIGAN VISITING PHYSICIANS
Active
Organization
MICHIGAN VISITING PHYSICIANS
Active
Other names
Great Lakes Portable Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
RAM GUNABALAN M.D. (OWNER)
(586) 279-9850
Entity
Organization
Contact information
Practice address
6240 RASHELLE DR, SUITE 103, FLINT, MI 48507-3934
(586) 279-3250
Mailing address
6240 RASHELLE DR, SUITE 103, FLINT, MI 48507-3934
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
429780
MI
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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