Organization
MADISON MEDICAL CENTER PC
Active
Other names
Madison Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAM GUNABALAN MD (PRESIDENT)
(586) 573-6400
Entity
Organization
Contact information
Practice address
363 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-5220
(586) 573-6400
Mailing address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 583-8922
(248) 583-8969
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
MI
Other
Enumeration date
08/30/2007
Last updated
09/17/2007
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