Individual
DR. MICHAEL EDWARD ORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
713 BLACKMON ST, MEDINA, TN 38355-8839
(731) 212-4495
(866) 963-0164
Mailing address
713 BLACKMON ST, MEDINA, TN 38355-8839
(731) 212-4495
(866) 963-0164
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD26929
TN
207Q00000X
Family Medicine Physician
MD26929
TN
363A00000X
Physician Assistant
MD26929
TN
Other
Enumeration date
06/02/2006
Last updated
10/23/2015
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