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TRAVERSE BAY RADIATION ONCOLOGISTS NPI 1356351506


NPI Information

NPI: 1356351506
Provider Name: TRAVERSE BAY RADIATION ONCOLOGISTS
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1105 SIXTH STREET
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-7100
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TRAVERSE BAY RADIATION ONCOLOGISTS is a radiation oncology radiology in Traverse City, MI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. TRAVERSE BAY RADIATION ONCOLOGISTS NPI is 1356351506. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1105 SIXTH STREET
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-7100
Fax: (231) 935-7126

The provider's authorized official is Michael D Aja .
The authorized official title is President and has the following contact phone number (231) 935-7100.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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