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NPI Code Detail

MEDICARE: IHA HEALTH SERVICES CORPORATION

MEDICARE: IHA HEALTH SERVICES CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2208000000XPediatrics Physician

General Provider Information

NPI Number : 1417004003
Entity Type Code : Organization
Provider Name (Legal Business Name) : IHA HEALTH SERVICES CORPORATION
Provider Business Mailing Address
First Line : 24 FRANK LLOYD WRIGHT DR # J2000
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-9484
Country : US
Telephone Number : 734-747-6766
Fax Number : 734-222-3100
Provider Business Practice Location Address
First Line : 4350 JACKSON RD STE 100
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-1889
Country : US
Telephone Number : 734-971-9344
Fax Number : 734-971-2303
Authorized Official
Title or Position : VP / CHIEF OPERATING OFFICER
Name : CYNTHIA ELLIOTT
Credential :
Telephone Number : 734-747-6766
Provider Enumeration Date : 01/04/2007
Last Update Date : 03/10/2026

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1164487963 — WENDY ROBERTS M.D.
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1164480141 — DR. MICHAEL I BRUDERLY M.D.
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Directions to “IHA HEALTH SERVICES CORPORATION ” Practice Location

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