Organization
IHA HEALTH SERVICES CORPORATION
Active
Other names
IHA Trauma & Critical Care Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (PRESIDENT & CHIEF OPERATING OFFICER)
(734) 747-6766
Entity
Organization
Contact information
Practice address
5301 E. HURON RIVER DR., YPSILANTI, MI 48197
(734) 712-7017
(734) 712-2844
Mailing address
PO BOX 0446 LOBBY J, 24 FRANK LLOYD WRIGHT DR., ANN ARBOR, MI 48106
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301050681
MI
2086S0102X
Surgical Critical Care Physician
Primary
4301050681
MI
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
4301050681
MI
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
06/27/2017
Last updated
08/23/2017
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