Provider Demographics
NPI:1366572257
Name:ERIC M ORENSTEIN MD PC
Entity type:Organization
Organization Name:ERIC M ORENSTEIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-225-2663
Mailing Address - Street 1:705 S GREENVILLE WEST DR STE 102C
Mailing Address - Street 2:PO BOX 545
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-3532
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:705 S GREENVILLE WEST DR STE 102C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-3532
Practice Address - Country:US
Practice Address - Phone:616-225-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty