Organization
CATHEDRAL COMMUNITY MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADY FAYAD M.D. (OWNER)
(313) 205-0909
Entity
Organization
Contact information
Practice address
26515 BALDWIN ST, DEARBORN HEIGHTS, MI 48127-1908
(313) 205-0909
(313) 562-0751
Mailing address
26515 BALDWIN ST, DEARBORN HEIGHTS, MI 48127-1908
(313) 205-0909
(313) 562-0751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301064977
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3347295T
—
MI
Enumeration date
08/05/2006
Last updated
12/09/2010
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