Organization
IHA OLMA PRIMARY CARE RISK LLC
Active
Other names
IHA Southeast Livonia Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A ELLIOTT (CHIEF OPERATING OFFICER / PRESIDENT)
(734) 327-0872
Entity
Organization
Contact information
Practice address
29370 PLYMOUTH RD, LIVONIA, MI 48150-2399
(734) 655-8200
(734) 655-8210
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
08/09/2021
Last updated
03/24/2026
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