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Organization
MERIDIAN HEALTH PLAN OF MICHIGAN, INC.
Active
Organization
MERIDIAN HEALTH PLAN OF MICHIGAN, INC.
Active
Parent organization
WELLCARE OF MICHIGAN HOLDING COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLCARE OF MICHIGAN HOLDING COMPANY
Authorized official
MICHAEL W HABER (VICE PRESIDENT, SECRETARY)
(813) 206-3252
Entity
Organization
Contact information
Practice address
777 WOODWARD AVE STE 600, DETROIT, MI 48226-3589
(888) 773-2647
Mailing address
8735 HENDERSON RD, TAMPA, FL 33634-1143
(813) 206-3252
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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