Individual
MYRNA P. ORBANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3200
Mailing address
1919 LAKE AVE STE 104, PLYMOUTH, IN 46563-7830
(574) 948-5070
(574) 948-5493
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-085773
IL
207RP1001X
Pulmonary Disease Physician
Primary
036-085773
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01078074A
STATE LICENSE
IN
01
—
036-085773
STATE LICENSE
IL
Enumeration date
08/31/2006
Last updated
12/16/2022
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