Organization
THE ORELLANA INSITITUTE PC
Active
Other names
THE ORELLANA INSTITUTE PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELBIN ALFREDO ORELLANA SR. MD (PRESIDENT)
(616) 940-9001
Entity
Organization
Contact information
Practice address
832 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2326
(616) 940-9001
(616) 940-7355
Mailing address
832 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2326
(616) 940-9001
(616) 940-7355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
EO045303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101761232
—
MI
01
—
260D110460
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/03/2007
Last updated
04/20/2008
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