| NPI | 1396867081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER HENRY WIEGERS Program Manager 616-459-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6801017474) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |