Organization
GREAT LAKES ORTHOPAEDIC CENTER, P.C.
Active
Other names
Great Lakes Orthopaedic Center East
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSY DURGA (BILLING AND CODING MANAGER)
(231) 929-5734
Entity
Organization
Contact information
Practice address
401 MUNSON AVE, TRAVERSE CITY, MI 49686-3041
(231) 935-0900
(231) 935-0905
Mailing address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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