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Organization

BAY RADIATION ONCOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ISAAC KAUFMAN MD (OWNER)
(248) 981-6330
Entity
Organization

Contact information

Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4209
Mailing address
412 HARBOR VIEW LN, PETOSKEY, MI 49770-8615
(248) 763-3473

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
11/03/2020
Last updated
11/03/2020
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