| Iha Domino's Farms Primary Care | |
|
4200 Whitehall Dr Ste 130 Ann Arbor MI 48105-9694 | |
| (734) 995-0303 | |
| Not Available |
| Full Name | Iha Domino's Farms Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4200 Whitehall Dr Ste 130, Ann Arbor, Michigan |
| Authorized Official Name and Position | Cynthia A Elliott (VP/CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7347476766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iha Domino's Farms Primary Care 24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 Ph: () - | Iha Domino's Farms Primary Care 4200 Whitehall Dr Ste 130 Ann Arbor MI 48105-9694 Ph: (734) 995-0303 |
| NPI Number | 1376690883 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 12/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376690883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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