Provider Demographics
NPI:1184718793
Name:ORR, MARGARET ANN (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:ORR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2810 CHARLEVOIX AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770
Mailing Address - Country:US
Mailing Address - Phone:231-348-8316
Mailing Address - Fax:231-348-8198
Practice Address - Street 1:2810 CHARLEVOIX AVENUE
Practice Address - Street 2:SUITE #106
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770
Practice Address - Country:US
Practice Address - Phone:231-348-8316
Practice Address - Fax:231-348-8198
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI077396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4382388Medicaid
MI1102401312OtherBLUE CROSS BLUE SHIELD
MI900003077OtherPRIORITY HEALTH
1102401312OtherBCBSM
MI0N40760Medicare PIN
MI4382388Medicaid