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Organization
GREAT LAKES ORTHOPAEDIC CENTER
Active
Organization
GREAT LAKES ORTHOPAEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS VINCENT O'HAGAN M.D. (SPORTS MEDICINE ORTHOPAEDIC SURGEON)
(231) 935-0900
Entity
Organization
Contact information
Practice address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0900
Mailing address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0900
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
02/19/2014
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