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Individual

MARY M ORDING

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 337-8396
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301063002
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007909
HEALTH ADVANTAGE NETWORK
MI
05
3482511
MI
01
3503304952
BLUE CROSS BLUE SHIELD
MI
01
350C36152
BLUE CROSS BLUE SHIELD
MI
01
7500184
PHYSICIANS HEALTH PLAN
MI
Enumeration date
01/09/2006
Last updated
07/08/2007
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