Organization
MUNSON MEDICAL CENTER
Active
Other names
Endocrinology and Metabolism
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE KRUSZKA (COO MUNSON PHYSICIAN NETWORK)
(231) 935-4995
Entity
Organization
Contact information
Practice address
1221 SIXTH ST STE 208, TRAVERSE CITY, MI 49684-2360
(231) 935-2045
(231) 935-2046
Mailing address
2513 MOMENTUM PL, CHICAGO, IL 60689-5325
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B81243
BCBS GROUP
MI
01
—
0B86016
BCBS GROUP NUMBER
MI
01
—
CB9942
RAILROAD
MI
Enumeration date
01/04/2007
Last updated
10/04/2024
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