Organization
CATHERINE MCAULEY HEALTH SERVICES
Active
Other names
Saline Adult and Pediatric Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY C FAJA (PRESIDENT CEO)
(734) 975-4101
Entity
Organization
Contact information
Practice address
182 S INDUSTRIAL DR, STE A, SALINE, MI 48176-9175
(734) 429-8688
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
—
110H110540
BCBS BCN
MI
Enumeration date
04/04/2007
Last updated
10/20/2009
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