| NPI | 1801968219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL S FALKENBERG Access Coordinator 810-257-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 4704190052) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |