| Iha Health Services Corporation | |
| 
					4200 Whitehall Dr Ste 240 Ann Arbor MI 48105-9694  | |
| (734) 622-5000 | |
| (734) 327-6376 | 
| Full Name | Iha Health Services Corporation | 
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 
| Location | 4200 Whitehall Dr, Ann Arbor, Michigan | 
| Authorized Official Name and Position | Cynthia A Elliott (VP/CHIEF OPERATING OFFICER) | 
| Authorized Official Contact | 7347476766 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Iha Health Services Corporation 24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 Ph: (734) 747-6766  | Iha Health Services Corporation 4200 Whitehall Dr Ste 240 Ann Arbor MI 48105-9694 Ph: (734) 622-5000  | 
| NPI Number | 1821299199 | 
|---|---|
| Provider Enumeration Date | 05/31/2007 | 
| Last Update Date | 09/11/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821299199 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | BW077699 (Michigan) | Primary | 
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