Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Orthopaedic Center, PC

Organization Orthopaedic Surgery Physician · NPI 1952323453

Great Lakes Orthopaedic Center, PC is an Orthopaedic Surgery Physician in Traverse City, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1952323453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chrissy Durga — Administrator · (231) 929-5734
NPI enumeratedJuly 24, 2006
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address4045 W Royal Dr, Traverse City, MI 49684-8965

Other providers in Traverse City