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Great Lakes Orthopaedic Center, P.c.
Prosthetic/Orthotic Supplier in Traverse City, Michigan
NPI 1952323453

Great Lakes Orthopaedic Center, P.c. is a Prosthetic/Orthotic Supplier based in Traverse City, MI. Great Lakes Orthopaedic Center, P.c. practices in Traverse City, MI. The NPI Number for Great Lakes Orthopaedic Center, P.c. is 1952323453 and holds a License No. (Michigan).

The current practice location address for Great Lakes Orthopaedic Center, P.c. is 4045 W Royal Dr, Traverse City, MI and can be reached out via phone at 231-935-0900 and via fax at 231-935-0308.

Location: 4045 W Royal Dr, Traverse City, MI, 49684-8965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952323453
Provider Name
Great Lakes Orthopaedic Center, P.c.
Credential
Provider Entity Type
Organization
Address
4045 W Royal Dr, Traverse City, MI, 49684-8965
Phone Number
231-935-0900
Fax Number
231-935-0308
Provider Enumeration Date
07/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200B811700 01 MI BLUE CROSS BLUE SHIELD GROUP ID #
institution
Provider Business Practice Location Address Details
Address
4045 W Royal Dr
City
Traverse City
State
Michigan
Zip
49684-8965
Phone Number
231-935-0900
Fax Number
231-935-0308
person
Provider Business Mailing Address Details
Address
4045 W Royal Dr
City
Traverse City
State
Michigan
Zip
49684-8965
Phone Number
231-935-0900
Fax Number
231-935-0308
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
()
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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