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Organization
THE ORELLANA INSITITUTE PC
Active
Organization
THE ORELLANA INSITITUTE PC
Active
Other names
THE ORELLANA INSTITUTE PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELBIN ALFREDO ORELLANA SR. MD (PRESIDENT)
(616) 940-9001
Entity
Organization
Contact information
Practice address
832 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2326
(616) 940-9001
(616) 940-7355
Mailing address
832 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2326
(616) 940-9001
(616) 940-7355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
EO045303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101761232
—
MI
01
—
260D110460
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/03/2007
Last updated
04/20/2008
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