Individual
JOHN DOUGLASS ORR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 331-3435
Mailing address
41021 OLD MICHIGAN AVE TRLR 185, CANTON, MI 48188-2726
(313) 773-6098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704301657
MI
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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