Organization
MUNSON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE KRUSZKA (COO MUNSON PHYSICIAN NETWORK)
(231) 935-4995
Entity
Organization
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8686
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640B827230
BLUE CROSS
MI
Enumeration date
10/09/2008
Last updated
10/04/2024
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