Meridian Health Plan of Michigan, Inc.

NPI #1043865249 in Detroit, Michigan

Provider Information

NPI Number: 1043865249
Entity Type: Organization
Organization Name: Meridian Health Plan of Michigan, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: WELLCARE OF MICHIGAN HOLDING COMPANY
Primary Specialty: Health Maintenance Organization
Enumeration Date: Aug 5, 2019
Last Updated: Aug 5, 2019

Practice Location

Address: 777 WOODWARD AVE STE 600
City: Detroit
State: Michigan
ZIP Code: 48226-3589
Phone: (888) 773-2647

Authorized Official

Name: MICHAEL W HABER
Title: VICE PRESIDENT, SECRETARY
Phone: (813) 206-3252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Maintenance Organization	302R00000X	Primary

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