Dr Norman J Licht, MD | |
4045 W Royal Dr, Traverse City, MI 49684-8965 | |
(231) 935-0900 | |
(231) 935-0308 |
Full Name | Dr Norman J Licht |
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Gender | Male |
Speciality | Orthopaedic Surgery - Foot And Ankle Surgery |
Location | 4045 W Royal Dr, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942224894 | NPI | - | NPPES |
103105006 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 4301047445 (Michigan) | Primary |
Entity Name | Great Lakes Orthopaedic Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952323453 PECOS PAC ID: 1759371826 Enrollment ID: O20040512001442 |
Mailing Address | Practice Location Address |
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Dr Norman J Licht, MD 4045 W Royal Dr, Traverse City, MI 49684-8965 Ph: (231) 935-0900 | Dr Norman J Licht, MD 4045 W Royal Dr, Traverse City, MI 49684-8965 Ph: (231) 935-0900 |
Dr. Justin Joseph Hollander, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5246 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0957 Fax: 231-935-0960 | |
Thomas Freeman Jr., MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4045 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-0900 Fax: 833-471-4024 | |
Dr. Thomas V O'hagan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4045 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-0900 | |
Christopher Robert Chuinard, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4045 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-0900 Fax: 231-935-0308 | |
Dr. John Robert Reineck, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4045 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-0900 Fax: 231-935-0308 | |
Dr. Joseph M Mcgraw, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4045 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-0900 Fax: 231-935-0308 | |
Dr. Eric Lerche, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5246 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0957 |