| Iha Olma Primary Care Risk Llc | |
|
29370 Plymouth Rd Livonia MI 48150-2399 | |
| (734) 655-8200 | |
| (734) 655-8210 |
| Full Name | Iha Olma Primary Care Risk Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 29370 Plymouth Rd, Livonia, Michigan |
| Authorized Official Name and Position | Cynthia A Elliott (CHIEF OPERATING OFFICER / PRESIDENT) |
| Authorized Official Contact | 7343270872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iha Olma Primary Care Risk Llc 24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 Ph: () - | Iha Olma Primary Care Risk Llc 29370 Plymouth Rd Livonia MI 48150-2399 Ph: (734) 655-8200 |
| NPI Number | 1932874377 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932874377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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