Organization
MICHIGAN VISITING PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAM GUNABALAN MD (MANAGER)
(248) 619-9771
Entity
Organization
Contact information
Practice address
25650 OUTER DR, SUITE 401, LINCOLN PARK, MI 48146-2096
(313) 383-7147
(313) 383-7163
Mailing address
363 W BIG BEAVER RD, SUITE 200, TROY, MI 48084-5220
(248) 619-9771
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/10/2009
Last updated
05/21/2009
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