Provider Demographics
NPI:1417982067
Name:ORZECHOWSKI, MICHAEL WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WAYNE
Last Name:ORZECHOWSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3801 UNIVERSITY LAKE DRIVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4658
Mailing Address - Country:US
Mailing Address - Phone:907-563-1600
Mailing Address - Fax:907-563-0100
Practice Address - Street 1:3801 UNIVERSITY LAKE DRIVE
Practice Address - Street 2:SUITE 205
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4658
Practice Address - Country:US
Practice Address - Phone:907-563-1600
Practice Address - Fax:907-563-0100
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2015-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK2797207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD02151Medicaid
AKMD02151Medicaid