| NPI | 1932874377 |
|---|---|
| Doing Business As | IHA SOUTHEAST LIVONIA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT Chief Operating Officer / President 734-327-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |