Iha Ooma Primary LLC

NPI #1841907821 in Pontiac, Michigan

Provider Information

NPI Number: 1841907821
Entity Type: Organization
Organization Name: Iha Ooma Primary LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 31, 2022
Last Updated: Oct 31, 2022

Practice Location

Address: 44428 WOODWARD AVE STE 102
City: Pontiac
State: Michigan
ZIP Code: 48341-5009
Phone: (248) 858-3126

Authorized Official

Name: CYNTHIA A ELLIOTT
Title: PRESIDENT
Phone: (734) 327-0872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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