Organization
MERIDIAN MEDICAL PLLC
Active
Other names
Meridian Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
RAM GUNABALAN MD (MANAGER)
(313) 383-9400
Entity
Organization
Contact information
Practice address
25650 OUTER DR, SUITE 400, LINCOLN PARK, MI 48146-2096
(313) 383-9400
(313) 383-7163
Mailing address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 583-8922
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
04/10/2009
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