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Individual

ERIC MARCUS ORENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 448-7613
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01062952A
IN
207X00000X
Orthopaedic Surgery Physician
EO073282
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000507619
ANTHEM PROVIDER NUMBER
IN
05
103503999
MI
05
200140760
IN
01
9245965
PHCS PID NUMBER
IN
Enumeration date
08/03/2005
Last updated
02/03/2021
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