Organization
IHA OF ANN ARBOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ELLIOTT (CHIEF OPERATING OFFICER)
(734) 747-6766
Entity
Organization
Contact information
Practice address
4990 W CLARK RD, SUITE 500, YPSILANTI, MI 48197-1149
(734) 572-7500
Mailing address
24 FRANK LLOYD WRIGHT DR, P.O. BOX 0446, LOBBY J, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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