| Iha Olma Primary Non Risk Llc | |
|
20206 Farmington Rd Livonia MI 48152-1412 | |
| (248) 476-4724 | |
| (248) 476-7091 |
| Full Name | Iha Olma Primary Non Risk Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20206 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Cynthia A Elliott (PRESIDENT) |
| Authorized Official Contact | 7343270872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iha Olma Primary Non Risk Llc 24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 Ph: (734) 747-6766 | Iha Olma Primary Non Risk Llc 20206 Farmington Rd Livonia MI 48152-1412 Ph: (248) 476-4724 |
| NPI Number | 1467156927 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467156927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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