Organization
IHA OOMA PRIMARY LLC
Active
Other names
IHA Orchard Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ELLIOTT (CHIEF OPERATING OFFICER / PRESIDENT)
(734) 747-6766
Entity
Organization
Contact information
Practice address
28300 ORCHARD LAKE RD STE 100, FARMINGTON HILLS, MI 48334-3704
(248) 855-7510
(248) 855-5626
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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