| NPI | 1578096921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SEDLOCK Chief Executive Officer 517-253-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |