Healthcare Provider Details

I. General information

NPI: 1932105509
Provider Name (Legal Business Name): AARON S TRAGOS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 OSCEOLA ST
LAURIUM MI
49913-2134
US

IV. Provider business mailing address

205 OSCEOLA ST
LAURIUM MI
49913-2134
US

V. Phone/Fax

Practice location:
  • Phone: 906-337-6500
  • Fax: 906-337-6562
Mailing address:
  • Phone: 906-337-6500
  • Fax: 906-337-6562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number5101012506
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: