| Iha Ooma Primary LLC | |
|
4123 Martin Rd Ste 102 Commerce Twp MI 48390-4151 | |
| (248) 366-3700 | |
| Not Available |
| Full Name | Iha Ooma Primary LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4123 Martin Rd Ste 102, Commerce Twp, Michigan |
| Authorized Official Name and Position | Cynthia a Elliott (PRESIDENT) |
| Authorized Official Contact | 7347476766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iha Ooma Primary LLC 24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 Ph: (734) 747-6766 | Iha Ooma Primary LLC 4123 Martin Rd Ste 102 Commerce Twp MI 48390-4151 Ph: (248) 366-3700 |
| NPI Number | 1780470179 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780470179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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