Individual
DR. THOMAS V O'HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207X00000X
Orthopaedic Surgery Physician
125-053236
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
4301103987
MI
Other
Enumeration date
11/20/2008
Last updated
12/01/2022
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