| Cathedral Community Medical Clinic Pc | |
|
26515 Baldwin St Dearborn Heights MI 48127-1908 | |
| (313) 205-0909 | |
| (313) 562-0751 |
| Full Name | Cathedral Community Medical Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26515 Baldwin St, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Fady Fayad (OWNER) |
| Authorized Official Contact | 3132050909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathedral Community Medical Clinic Pc 26515 Baldwin St Dearborn Heights MI 48127-1908 Ph: (313) 205-0909 | Cathedral Community Medical Clinic Pc 26515 Baldwin St Dearborn Heights MI 48127-1908 Ph: (313) 205-0909 |
| NPI Number | 1649289844 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649289844 | NPI | - | NPPES |
| 3347295T | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301064977 (Michigan) | Primary |
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