Provider Demographics
NPI:1689667842
Name:ORLOSKI, KEVIN R (MD, DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:R
Last Name:ORLOSKI
Suffix:
Gender:M
Credentials:MD, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5345 ORCHARD RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48306-2398
Mailing Address - Country:US
Mailing Address - Phone:248-534-6626
Mailing Address - Fax:888-653-8521
Practice Address - Street 1:1320 N MICHIGAN AVE STE 7
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4751
Practice Address - Country:US
Practice Address - Phone:989-583-2720
Practice Address - Fax:989-583-1888
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008150111N00000X
MI2301010255111N00000X
IL036-137314208100000X
MI4301101777208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01608639OtherBCBS
IL01608639OtherBCBS
ILK34545Medicare PIN