| Organization Name: | MADISON MEDICAL CENTER |
| NPI Number: | 1033115548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAM GUNABALAN (PRESIDENT) |
| Mailing Address: | 13409 E 14 Mile Rd Sterling Hts |
| State: | MI US |
| Postal Code: | 483126304 |
| Phone Number: | 5869773900 |
| Fax Number: | 5869776084 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |