Organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Active
Parent organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Other names
Charlevoix Physician Specialists, Charlevoix Women's Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Authorized official
CHRISTINE WILHELM (CHIEF OPERATIONS OFFICER)
(231) 547-4024
Entity
Organization
Contact information
Practice address
14651 W. UPRIGHT ST, CHARLEVOIX, MI 49720-1226
(231) 582-4477
(231) 547-4753
Mailing address
14651 W UPRIGHT ST, CHARLEVOIX, MI 49720-1266
(231) 547-4477
(231) 547-4753
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
MI
207Y00000X
Otolaryngology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A51002
BLUE SHIELD GRP
MI
05
—
3196127
—
MI
Enumeration date
10/27/2006
Last updated
03/17/2016
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