| NPI | 1972110583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KOSHOREK VP, Associate General Counsel 313-720-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-11-14 |