Organization
IHA OOMA PRIMARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (PRESIDENT)
(734) 747-6766
Entity
Organization
Contact information
Practice address
4123 MARTIN RD STE 102, COMMERCE TWP, MI 48390-4151
(248) 366-3700
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/15/2025
Last updated
03/24/2026
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