Organization
IHA HEALTH SERVICES CORPORATION
Active
Other names
IHA Pediatric Neurology Consultants
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
4200 WHITEHALL DR, STE 240, ANN ARBOR, MI 48105-9694
(734) 622-5000
(734) 327-6376
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
BW077699
MI
Other
Enumeration date
05/31/2007
Last updated
09/11/2014
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