Organization
IHA OOMA PRIMARY LLC
Active
Other names
IHA Waterford 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
4400 HIGHLAND RD, WATERFORD, MI 48328-1222
(248) 618-6000
(248) 618-6951
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
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
03/24/2026
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