| NPI | 1063573830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA K MCMULLEN Manager 517-849-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-09-09 |