Provider Demographics
NPI:1942879861
Name:ORLOWSKI, MICHAEL R
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:R
Last Name:ORLOWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 JENIFER AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3006
Mailing Address - Country:US
Mailing Address - Phone:586-298-7005
Mailing Address - Fax:
Practice Address - Street 1:1565 JENIFER AVE
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3006
Practice Address - Country:US
Practice Address - Phone:586-298-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker