# MUNSON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396235610
- **Authorized official:** MARK HEPLER (CFO)
- **Authorized official phone:** (231) 935-6545

## Contact information

- **Practice address:** 405 N DIVISION RD STE 2, PETOSKEY, MI 49770-9046
- **Practice address phone:** (231) 487-2270
- **Practice address fax:** (231) 487-6168
- **Mailing address:** 400 HOBART ST, CADILLAC, MI 49601-2331
- **Mailing address phone:** (231) 876-6623
- **Mailing address fax:** (231) 876-6121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2018
- **Last updated:** 05/11/2018