Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petoskey Radiation Oncology, PLC

Organization Radiation Oncology Physician · NPI 1750832705

Petoskey Radiation Oncology, PLC is a Radiation Oncology Physician in Petoskey, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

416 Connable Ave Radiology Dept
Petoskey, MI 49770-2212
Phone: (231) 487-4209
Fax: (231) 487-7840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X

Record details

NPI number1750832705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Boike — Authorized Signer · (231) 487-4209
NPI enumeratedOctober 14, 2016
Last updated in NPPESOctober 14, 2016
Mailing address416 Connable Ave, Radiology Dept, Petoskey, MI 49770-2212

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