Organization
CATHERINE MCAULEY HEALTH SERVICES
Active
Parent organization
WEST SIDE OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SIDE OB/GYN
Authorized official
GARRY C. FAJA (PRESIDENT/CEO)
(734) 975-4101
Entity
Organization
Contact information
Practice address
43333 7 MILE RD, SUITE 2, NORTHVILLE, MI 48167-3259
(734) 981-2400
Mailing address
5800 N LILLEY RD, CANTON, MI 48187-3668
(734) 981-2400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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