Iha Ooma Primary LLC

NPI #1780470179 in Commerce Twp, Michigan

Provider Information

NPI Number: 1780470179
Entity Type: Organization
Organization Name: Iha Ooma Primary LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 15, 2025
Last Updated: Apr 15, 2025

Practice Location

Address: 4123 MARTIN RD STE 102
City: Commerce Twp
State: Michigan
ZIP Code: 48390-4151
Phone: (248) 366-3700

Authorized Official

Name: CYNTHIA A ELLIOTT
Title: PRESIDENT
Phone: (734) 747-6766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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