Great Lakes Orthopaedic Center
NPI #1629234042 in Traverse City, Michigan
Provider Information
- NPI Number
- 1629234042
- Entity Type
- Organization
- Organization Name
- Great Lakes Orthopaedic Center
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Aug 5, 2008
- Last Updated
- Feb 19, 2014
Practice Location
- Address
- 4045 W ROYAL DR
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49684-8965
- Phone
- (231) 935-0900
Authorized Official
- Name
- DR. THOMAS VINCENT O'HAGAN, M.D.
- Title
- SPORTS MEDICINE ORTHOPAEDIC SURGEON
- Phone
- (231) 935-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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