Organization
MUNSON MEDICAL GROUP
Active
Other names
Munson Nephrology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HEPLER (CFO)
(231) 935-6702
Entity
Organization
Contact information
Practice address
4062 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0338
(231) 935-3421
Mailing address
PO BOX 771959, DETROIT, MI 48277-1959
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/19/2016
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