Individual
DEBRA MARY VAN ORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8391 COMMERCE RD STE 103, COMMERCE TOWNSHIP, MI 48382-4489
(248) 690-6966
(248) 535-0226
Mailing address
8391 COMMERCE RD STE 103, COMMERCE TOWNSHIP, MI 48382-4489
(248) 690-6966
(248) 653-5022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DV009592
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156308105
BCBS
MI
01
—
MI12421
MEDICARE
MI
Enumeration date
01/12/2007
Last updated
09/10/2020
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