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Organization

PETOSKEY RADIATION ONCOLOGY, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS P BOIKE MD (AUTHORIZED SIGNER)
(231) 487-4209
Entity
Organization

Contact information

Practice address
416 CONNABLE AVE, RADIOLOGY DEPT, PETOSKEY, MI 49770-2212
(231) 487-4209
(231) 487-7840
Mailing address
416 CONNABLE AVE, RADIOLOGY DEPT, PETOSKEY, MI 49770-2212
(231) 487-4209
(231) 487-7840

Taxonomy

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

Other

Enumeration date
10/14/2016
Last updated
10/14/2016
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