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Organization
IHA OLMA PRIMARY CARE RISK LLC
Active
Organization
IHA OLMA PRIMARY CARE RISK LLC
Active
Other names
IHA Southeast Livonia Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (CHIEF OPERATING OFFICER / PRESIDENT)
(734) 327-0872
Entity
Organization
Contact information
Practice address
29370 PLYMOUTH RD, LIVONIA, MI 48150-2399
(734) 655-8200
(734) 655-8210
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
08/09/2021
Last updated
03/24/2026
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