Organization
IHA OOMA PRIMARY LLC
Active
Other names
IHA Union Lake Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (PRESDIENT / CHIEF OPERATING OFFICER)
(734) 327-0341
Entity
Organization
Contact information
Practice address
2630 UNION LAKE RD STE 100, COMMERCE TOWNSHIP, MI 48382-3583
(248) 360-1200
(248) 360-6182
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
04/23/2021
Last updated
04/23/2021
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