Organization
MUNSON MEDICAL CENTER
Active
Other names
Nephrology Consultants, Munson Healthcare Kidney and Hypertension Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE KRUSZKA (COO MUNSON PHYSICIAN NETWORK)
(231) 935-4995
Entity
Organization
Contact information
Practice address
3537 W FRONT ST, TRAVERSE CITY, MI 49684-7941
(231) 935-0338
(231) 935-0569
Mailing address
3537 W FRONT ST, TRAVERSE CITY, MI 49684-7941
(231) 935-0338
(231) 935-0569
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B86016
BCBS GROUP
MI
01
—
110B812440
BCBS GROUP
MI
01
—
CB9942
RAILROAD GROUP
MI
Enumeration date
10/24/2006
Last updated
10/04/2024
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