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Organization

IHA OOMA PRIMARY LLC

Active
Other names
IHA Bloomfield Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA ELLIOTT (PRESIDENT & CHIEF OPERATING OFFICER)
(734) 747-6766
Entity
Organization

Contact information

Practice address
43097 WOODWARD AVE STE 204, BLOOMFIELD TOWNSHIP, MI 48302-5043
(248) 836-0040
(248) 836-0042
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
03/15/2021
Last updated
03/24/2026
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