Organization
IHA HEALTH SERVICE CORPORATION
Active
Other names
IHA Brooklyn Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (PRESIDENT AND CHIEF OPERATING OFFIC)
(734) 327-0872
Entity
Organization
Contact information
Practice address
212 S MAIN ST STE A, BROOKLYN, MI 49230-9114
(517) 592-8033
(517) 592-3959
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
—
—
Other
Enumeration date
05/29/2019
Last updated
12/27/2019
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