Organization
IHA HEALTH SERVICES CORPORATION
Active
Other names
IHA Livingston Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (VP / CHIEF OPERATING OFFICER)
(734) 747-6766
Entity
Organization
Contact information
Practice address
2305 GENOA BUSINESS PARK DR, SUITE 240, BRIGHTON, MI 48114-7004
(810) 494-6820
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
06/03/2011
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