| NPI | 1578162319 |
|---|---|
| Doing Business As | IHA NORTHWEST LIVONIA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT President And COO 734-327-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |