Organization
TRAVERSE AREA HEMATOLOGY/ONCOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD P KOSINSKI MD (PRESIDENT)
(231) 935-0700
Entity
Organization
Contact information
Practice address
5041 N ROYAL DR, SUITE 2, TRAVERSE CITY, MI 49684-6986
(231) 935-0700
(231) 935-0704
Mailing address
5041 N ROYAL DR, SUITE 2, TRAVERSE CITY, MI 49684-6986
(231) 935-0700
(231) 935-0704
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B86037
BLUE CROSS BLUE SHIELD
MI
01
—
CL2274
RR MEDICARE
MI
Enumeration date
02/22/2006
Last updated
10/31/2007
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