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Organization
MERIDIAN HEALTH PLAN OF IOWA, INC.
Active
Organization
MERIDIAN HEALTH PLAN OF IOWA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STINES (ASSOCIATE GENERAL COUNSEL)
(313) 324-3746
Entity
Organization
Contact information
Practice address
777 WOODWARD AVE, SUITE 600, DETROIT, MI 48226-3536
(313) 324-3700
Mailing address
777 WOODWARD AVE, SUITE 600, DETROIT, MI 48226-3536
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3111
IA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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