Organization
MUNSON MEDICAL CENTER DBA MUNSON MEDICAL CENTER RADIATION ONCOLOGISTS
Active
Parent organization
MUNSON MEDICAL CENTER
Other names
Munson Medical Center Radiation Oncologists
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON MEDICAL CENTER
Authorized official
KATHLEEN MARIE LARAIA (AUTHORIZED OFFICIAL)
(231) 392-8400
Entity
Organization
Contact information
Practice address
217 S MADISON AVENUE, TRAVERSE CITY, MI 49684-2320
(231) 392-8400
(231) 935-7126
Mailing address
PO BOX 84868, CHICAGO, IL 60689-4868
(231) 392-8400
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L458593
MI
Other
Enumeration date
08/15/2016
Last updated
03/11/2026
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