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Individual

RAMON ADOLFO MADRID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2040 MONROE ST, SUITE #209, DEARBORN, MI 48124-2921
(313) 359-3800
(313) 277-4100
Mailing address
2040 MONROE ST, SUITE #209, DEARBORN, MI 48124-2921
(313) 359-3800
(313) 277-4100

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301028439
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700H219440
BC/BS
MI
Enumeration date
06/02/2006
Last updated
02/24/2014
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