NPI 1043865249

Meridian Health Plan of Michigan, INC.

Organisation Health Maintenance Organization Detroit, MI

Practice location

Address: 777 Woodward Ave STE 600, Detroit, MI 48226-3589
Phone: (888) 773-2647
Mailing address: 8735 Henderson Rd, Tampa, FL 33634-1143

Authorised official

Name: Michael W Haber
Title: Vice President, Secretary
Phone: (813) 206-3252

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1043865249
Entity type: Organization
NPI issued: 5 Aug 2019
Record last updated: 5 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.