# AETNA HEALTH OF MICHIGAN INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679181416
- **Authorized official:** MR. EDWARD C LEE (EXECUTIVE DIRECTOR SENIOR COUNSEL)
- **Authorized official phone:** (860) 273-8329

## Contact information

- **Practice address:** 28588 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48034-8335
- **Practice address phone:** (800) 872-3862
- **Mailing address:** 28588 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48034-8335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2020
- **Last updated:** 07/17/2020