Organization
CATHERINE MCAULEY HEALTH SERVICES
Active
Other names
Hartland Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY C FAJA (PRESIDENT CEO)
(734) 975-4101
Entity
Organization
Contact information
Practice address
10850 HIGHLAND RD, HARTLAND, MI 48353-2629
(810) 632-2068
Mailing address
2691 RELIABLE PARKWAY, CHICAGO, IL 60686-0026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D710300
BCBS BCN
MI
Enumeration date
04/04/2007
Last updated
10/20/2009
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