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
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
(231) 935-5000
Mailing address
2513 MOMENTUM PL, CHICAGO, IL 60689-5325
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364SA2100X
Acute Care Clinical Nurse Specialist
—
—
Other
Enumeration date
04/14/2017
Last updated
10/04/2024
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