Healthcare Provider Details

I. General information

NPI: 1245311398
Provider Name (Legal Business Name): ORCHARDVIEW PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51850 DEQUINDRE RD STE 3
SHELBY TOWNSHIP MI
48316-2806
US

IV. Provider business mailing address

51850 DEQUINDRE RD STE 3
SHELBY TOWNSHIP MI
48316-2806
US

V. Phone/Fax

Practice location:
  • Phone: 248-760-0522
  • Fax: 586-331-2323
Mailing address:
  • Phone: 248-760-0522
  • Fax: 586-331-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number4301407335
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4301407335
License Number StateMI

VIII. Authorized Official

Name: DR. PHILIP MICHAEL O'HALLORAN
Title or Position: MEMBER
Credential: M.D.
Phone: 248-760-0522