| NPI | 1093154692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M MAYS Clinical Liaison 810-424-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6802064568) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |