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Organization
HEALTH NET OF WEST MICHIGAN
Active
Organization
HEALTH NET OF WEST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN T KIRKWOOD MPH (EXECUTIVE DIRECTOR)
(616) 632-1010
Entity
Organization
Contact information
Practice address
620 CENTURY AVE SW, SUITE 210, GRAND RAPIDS, MI 49503-4977
(616) 726-8204
(616) 726-8205
Mailing address
620 CENTURY AVE SW, SUITE 210, GRAND RAPIDS, MI 49503-4977
(616) 726-8204
(616) 726-8205
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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