NPI 1750832705
Petoskey Radiation Oncology, Plc
Practice location
- Address
- 416 Connable Ave Radiology Dept, Petoskey, MI 49770-2212
- Phone
- (231) 487-4209
- Fax
- (231) 487-7840
Authorised official
- Name
- Thomas P Boike
- Title
- Authorized Signer
- Phone
- (231) 487-4209
Registered specialties
Radiation Oncology Physician
Primary
Registry record
- NPI
- 1750832705
- Entity type
- Organization
- NPI issued
- 14 Oct 2016
- Record last updated
- 14 Oct 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.