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Organization
MUNSON MEDICAL CENTER
Active
Organization
MUNSON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRYE (PRES. AMBULATORY & BUS. DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
4230 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7256
(231) 935-5000
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800B811370
BLUE SHIELD
—
Enumeration date
06/28/2006
Last updated
08/31/2026
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