# IHA OLMA SPECIALTY SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IHA Obstetrics & Gynecology Clarkston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861060196
- **Authorized official:** CYNTHIA ELLIOTT (CHEIF OPERATING OFFICER / PRESIDENT)
- **Authorized official phone:** (734) 747-6766

## Contact information

- **Practice address:** 6770 DIXIE HWY STE 313, CLARKSTON, MI 48346-5114
- **Practice address phone:** (248) 625-8555
- **Practice address fax:** (248) 625-3637
- **Mailing address:** 24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2021
- **Last updated:** 06/14/2021