| Iha Ooma Primary Llc | |
|
4400 Highland Rd Waterford MI 48328-1222 | |
| (248) 618-6000 | |
| (248) 618-6951 |
| Full Name | Iha Ooma Primary Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4400 Highland Rd, Waterford, 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 Ooma Primary Llc 24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 Ph: () - | Iha Ooma Primary Llc 4400 Highland Rd Waterford MI 48328-1222 Ph: (248) 618-6000 |
| NPI Number | 1255006706 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255006706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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