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Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT ORR DO (OWNER)
(313) 575-0715
Entity
Organization

Contact information

Practice address
8937 OHIO ST, DETROIT, MI 48204-2793
(313) 575-0715
(313) 893-4926
Mailing address
8937 OHIO ST, DETROIT, MI 48204-2793
(313) 575-0715
(313) 893-4926

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
RO004572
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4139733
MI
Enumeration date
12/06/2007
Last updated
12/12/2007
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