| Evernorth Care Providers - Delaware Pa | |
|
39625 Lewis Dr Ste 800 Novi MI 48377-2962 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Evernorth Care Providers - Delaware Pa |
|---|---|
| Speciality | General Practice |
| Location | 39625 Lewis Dr Ste 800, Novi, Michigan |
| Authorized Official Name and Position | Grace V Blue (CREDENTIALING SR. MANAGER) |
| Authorized Official Contact | 7732924800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Providers - Delaware Pa 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Delaware Pa 39625 Lewis Dr Ste 800 Novi MI 48377-2962 Ph: (773) 292-4800 |
| NPI Number | 1932988359 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932988359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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