Organization
CEDAR MEDICAL SERVICES PC
Active
Other names
CAMPBELL URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WISSAM M SHAYA M.D. (OWNER)
(248) 850-8395
Entity
Organization
Contact information
Practice address
1010 N CAMPBELL RD, SUITE 3, ROYAL OAK, MI 48067-1570
(248) 850-8395
(248) 850-8495
Mailing address
1010 N CAMPBELL RD, SUITE 3, ROYAL OAK, MI 48067-1570
(248) 850-8395
(248) 850-8495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301082473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080E029470
BCBS GROUP
MI
01
—
080F387630
BCBS GROUP
MI
05
—
1285891036
—
MI
01
—
DQ3269
RAILROAD MEDICARE
MI
Enumeration date
05/20/2008
Last updated
08/09/2010
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