Individual
DAVID ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 965-0345
Mailing address
148 LAMP LIGHTER DR APT 10, KAUKAUNA, WI 54130-9581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4238-23
WI
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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