# MUNSON HEALTHCARE CADILLAC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Munson Healthcare Cadillac Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932726577
- **Authorized official:** BONNIE KRUSZKA (COO MUNSON PHYSICIAN NETWORK)
- **Authorized official phone:** (231) 935-4995

## Contact information

- **Practice address:** 1011 SUNNYSIDE DR, CADILLAC, MI 49601-8735
- **Practice address phone:** (231) 779-2565
- **Practice address fax:** (231) 775-0744
- **Mailing address:** 3782 MOMENTUM PLACE, CHICAGO, IL 60689-0001
- **Mailing address phone:** (231) 779-2565
- **Mailing address fax:** (231) 775-0744

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2020
- **Last updated:** 10/02/2024