# MUNSON HEALTHCARE CHARLEVOIX HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
- **Other names:** Munson Healthcare Charlevoix Urology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609477488
- **Legal business name:** MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
- **Authorized official:** MICHAEL FRYE MD (PRES. AMBULATORY & BUS. DEVELOPMENT)
- **Authorized official phone:** (704) 458-8010

## Contact information

- **Practice address:** 11695 PARK AVE, SUITE A, CHARLEVOIX, MI 49720
- **Practice address phone:** (231) 487-2270
- **Practice address fax:** (231) 487-6168
- **Mailing address:** 11695 PARK AVE, SUITE A, CHARLEVOIX, MI 49720
- **Mailing address phone:** (231) 487-2270
- **Mailing address fax:** (231) 487-6168

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2020
- **Last updated:** 04/24/2026