| Iha Neurology Oakland | |
|
44555 Woodward Ave Ste 104 Pontiac MI 48341-5032 | |
| (248) 858-6104 | |
| (248) 858-6115 |
| Full Name | Iha Neurology Oakland |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 44555 Woodward Ave Ste 104, Pontiac, Michigan |
| Authorized Official Name and Position | Cynthia A Elliott (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7343270872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iha Neurology Oakland 24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 Ph: () - | Iha Neurology Oakland 44555 Woodward Ave Ste 104 Pontiac MI 48341-5032 Ph: (248) 858-6104 |
| NPI Number | 1982369203 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982369203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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