NPI 1073477725

Prodigious Staffing

Organisation Health Maintenance Organization Livonia, MI

Practice location

Address: 31221 Lyndon St, Livonia, MI 48154-4354
Phone: (734) 407-7622

Authorised official

Name: Gavin Riser
Title: General Manager
Phone: (734) 407-7622

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1073477725
Entity type: Organization
NPI issued: 16 Dec 2025
Record last updated: 16 Dec 2025

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.