Organization
CATHERINE MCAULEY HEALTH SERVICES
Active
Parent organization
ST. JOSEPH MERCY HOSPITAL
Other names
Dr. Gao and Waas
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOSEPH MERCY HOSPITAL
Authorized official
GARRY FAJA (PRESIDENT CEO)
(734) 975-4101
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, STE. 4012, YPSILANTI, MI 48197-1014
(734) 712-1300
Mailing address
2691 RELIABLE PARKWAY, CHICAGO, IL 60686-0026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H110710
BCBS BCN
MI
Enumeration date
03/22/2007
Last updated
04/24/2009
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