| NPI | 1730528936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PULLEY Billing And Claims Supervisor 810-257-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 104100000X) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |