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Organization

IHA OLMA PRIMARY NON RISK LLC

Active
Other names
St. Mary Mercy Center for Family Care
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA A ELLIOTT (PRESIDENT & COO)
(734) 327-0341
Entity
Organization

Contact information

Practice address
37595 7 MILE RD STE 210, LIVONIA, MI 48152-1003
(734) 853-5694
(734) 430-9388
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 327-0872
(734) 222-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/22/2020
Last updated
03/24/2026
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