| Dr Robert M Laporte, MD | |
| 1105 Sixth St, Traverse City, MI 49684-2349 | |
| (303) 349-6839 | |
| Not Available | 
| Full Name | Dr Robert M Laporte | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Radiation Oncology | 
| Location | 1105 Sixth St, Traverse City, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255315891 | NPI | - | NPPES | 
| 91093914 | Medicaid | CO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 32504 (Colorado) | Primary | 
| Entity Name | Fairview Health Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 | 
| Entity Name | Range Regional Health Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Robert M Laporte, MD 10550 S Monaco Way, Traverse City, MI 49684-6816 Ph: (303) 349-6839 | Dr Robert M Laporte, MD 1105 Sixth St, Traverse City, MI 49684-2349 Ph: (303) 349-6839 | 
| Edward J Walsh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
| Dr. Jesse Clark Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
| Andrew Osetek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-5000 | |
| Anthony Livorine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
| Dr. Ryan Michael Holmes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
| Dr. Daniel Pilade Dall'olmo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10850 E Traverse Hwy, Suite 60, Traverse City, MI 49684 Phone: 231-935-0497 | |
| Dr. Charles Paul Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 |