Organization
INTEGRO,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MURRY (ADMINISTRATIVE ASSISTANT)
51778402222
Entity
Organization
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(888) 658-4040
(517) 784-8552
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(888) 658-4040
(517) 784-8552
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4704230899
MI
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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