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Organization
PHYSICIAN PRACTICE NETWORK
Active
Organization
PHYSICIAN PRACTICE NETWORK
Active
Parent organization
MUNSON HEALTHCARE
Other names
Cadillac Hospitalist
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE
Authorized official
MR. MICHAEL ZDRODOWSKI (ADMINISTATOR)
(231) 876-6730
Entity
Organization
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
(231) 876-6519
Mailing address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
(231) 876-6519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H310180
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/09/2006
Last updated
06/30/2008
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