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Meridian Health Plan Of Michigan, INC.

Health Maintenance Organization in Detroit, MI. Organization (NPI-2).

NPI number1043865249
StatusActive
Last updated in NPPESAug 5, 2019

Details

NPI
1043865249
Entity type
Organization (NPI-2)
Legal business name
Meridian Health Plan Of Michigan, INC.
Organization subpart
Yes
Enumeration date
Aug 5, 2019
Last updated
Aug 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes

Practice location

777 Woodward Ave Ste 600
Detroit, MI 48226-3589

Phone 888-773-2647

Mailing address

8735 Henderson Rd
Tampa, FL 33634-1143

Phone 813-206-3252

Authorized official

Michael W Haber
Vice President, Secretary
8132063252

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