| NPI | 1386679892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK LEWERENZ Physician 248-443-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 5101006349) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |