Organization · Type 2 NPI

Munson Medical Center

Radiation Oncology Physician · Traverse City, MI

NPI number 1376097733 Active

Practice location

217 S Madison Avenue
Traverse City, MI 49684-2320

Call (231) 392-8400 Map

Fax (231) 935-7126

Mailing address

PO Box 84868
Chicago, IL 60689-4868

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	L458593 (MI)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Other radiation oncology physician providers in Traverse City

Traverse Bay Radiation OncologistsRadiation Oncology Physician Traverse City, MI NPI 1356351506

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NPI record

NPI: 1376097733
Entity type: Organization (Type 2)
Issued: Aug 15, 2016
Last updated: Sep 3, 2026
Status: Active
Subpart: Yes of Munson Medical Center

Other names

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Munson Medical Center Radiation Oncologists · doing business as

Authorized official

Kathleen Marie Laraia
Authorized Official
(231) 392-8400

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376097733

Munson Medical Center's National Provider Identifier is 1376097733, issued on Aug 15, 2016. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Traverse City, MI. The record was last updated on Sep 3, 2026.