Organization
IHA OLMA SPECIALTY SERVICES LLC
Active
Other names
Trinity Health IHA Medical Group Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (PRESIDENT)
(734) 747-6766
Entity
Organization
Contact information
Practice address
44555 WOODWARD AVE STE 305, PONTIAC, MI 48341-5035
(248) 858-3812
(248) 858-3815
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/27/2023
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