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Organization
IHA OLMA SPECIALTY SERVICE LLC
Active
Organization
IHA OLMA SPECIALTY SERVICE LLC
Active
Other names
IHA Obstetrics & Gynecology Clarkston
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ELLIOTT (CHEIF OPERATING OFFICER / PRESIDENT)
(734) 747-6766
Entity
Organization
Contact information
Practice address
6770 DIXIE HWY STE 313, CLARKSTON, MI 48346-5114
(248) 625-8555
(248) 625-3637
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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