Madison Medical Center PC

NPI #1467620617 in Sterling Hts, Michigan

Provider Information

NPI Number
1467620617
Entity Type
Organization
Organization Name
Madison Medical Center PC
Subpart
Yes (part of a larger organization)
Parent Organization
MADISON MEDICAL CENTER PC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 11, 2008
Last Updated
Feb 11, 2008

Practice Location

Address
13409 E 14 MILE RD
ZIP Code
48312-6304
Phone
(586) 977-3900

Authorized Official

Name
RAM GUNABALAN, MD
Title
PRESIDENT
Phone
(248) 583-8922

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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