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

Ryan R. Hoenicke, MD

Individual provider Diagnostic Radiology Physician · NPI 1477604874

Ryan R. Hoenicke, MD is a Diagnostic Radiology in Traverse City, Michigan. Graduated from Michigan State University College of Human Medicine in 1999, 27 years ago. Practices with Grand Traverse Radiologists PC, a 32-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1105 Sixth St
Traverse City, MI 49684-2345
Phone: (123) 193-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301073851 (MI)

Record details

NPI number1477604874
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1999 (27 years in practice)
Group practice Grand Traverse Radiologists Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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