Organization
HEALTH NET CONNECT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORKY J DAVIS (COO)
(248) 896-6240
Entity
Organization
Contact information
Practice address
50496 PONTIAC TRL, SUITE 700, WIXOM, MI 48393-2088
(248) 896-6240
(248) 960-8082
Mailing address
50496 PONTIAC TRL, SUITE 700, WIXOM, MI 48393-2088
(248) 896-6240
(248) 960-8082
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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