MEDICARE: MARY M ORDING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	4301063002	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1007909	OTHER	MI	HEALTH ADVANTAGE NETWORK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3503304952	OTHER	MI	BLUE CROSS BLUE SHIELD
4	7500184	OTHER	MI	PHYSICIANS HEALTH PLAN
5	1007909	OTHER	MI	MCLAREN HEALTH PLAN
6	350C36152	OTHER	MI	BLUE CROSS BLUE SHIELD
7	350C36152	OTHER	MI	COMMUNITY BLUE PPO
8	350C36152	OTHER	MI	BLUE CARE NETWORK
9	350C36152	OTHER	MI	BLUE CHOICE

General Provider Information

NPI Number	:	1235117318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY M ORDING MD

Provider Business Mailing Address
First Line	:	401 S BALLENGER HWY
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3638
Country	:	US
Telephone Number	:	810-342-1000
Fax Number	:	810-342-1590

Provider Business Practice Location Address
First Line	:	401 W GREENLAWN AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-2819
Country	:	US
Telephone Number	:	517-337-8396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	07/08/2007

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Directions to “ MARY M ORDING MD” Practice Location

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