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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