Organization
IHA OLMA PRIMARY CARE RISK LLC
Active
Other names
IHA Livonia Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (PRESIDENT)
(734) 327-0872
Entity
Organization
Contact information
Practice address
19000 ST. JOE'S PARKWAY, SUITE 200, LIVONIA, MI 48152-1079
(734) 213-3685
(734) 213-3686
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/12/2018
Last updated
03/24/2026
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