Individual
DAN EVIATHAR ORRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-7808
(906) 225-7818
Mailing address
2837 US 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
036107517
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301079844
MI
2085R0204X
Vascular & Interventional Radiology Physician
ME90963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02361984
—
FL
05
—
036107517
—
IL
01
—
0E21024
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147080
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/06/2006
Last updated
09/26/2011
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