| NPI | 1255802559 |
|---|---|
| Doing Business As | IHA LIVONIA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT President 734-327-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2022-12-15 |