Individual
RYAN R. HOENICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(123) 193-5500
Mailing address
PO BOX 30516 DEPT#9516, LANSING, MI 48909-8016
(231) 935-0497
(231) 935-0498
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301073851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496430010
—
MI
Enumeration date
01/15/2007
Last updated
02/11/2022
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