NPI 1346379492

City of Detroit

Organisation Exclusive Provider Organization Detroit, MI

Practice location

Address: 1151 Taylor St Rm 319b, Detroit, MI 48202-1732
Phone: (313) 876-4564

Authorised official

Name: Kanzoni Neumann Asabigi
Title: Dep. Director
Phone: (313) 876-4564

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 822951 (MI)

Other Exclusive Provider Organization providers in Michigan →

Registry record

NPI: 1346379492
Entity type: Organization
NPI issued: 5 Mar 2007
Record last updated: 16 Jun 2008

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.