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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