Organization
MADISON MEDICAL CENTER PC
Active
Parent organization
MADISON MEDICAL CENTER PC
Other names
Madison Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON MEDICAL CENTER PC
Authorized official
DR. RAM GUNABALAN MD (PRESIDENT)
(248) 583-8922
Entity
Organization
Contact information
Practice address
363 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-5220
(248) 619-9471
(248) 619-9774
Mailing address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 583-8922
(248) 583-8969
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
10/01/2007
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