Organization
MUNSON HEALTHCARE MANISTEE HOSPITAL
Active
Organization
MUNSON HEALTHCARE MANISTEE HOSPITAL
Active
Parent organization
WEST SHORE MEDICAL CENTER
Other names
West Shore Medical Center Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SHORE MEDICAL CENTER
Authorized official
ELLEN O SMITH (CFO)
(231) 935-6512
Entity
Organization
Contact information
Practice address
1465 E PARKDALE AVE, MANISTEE, MI 49660-9709
(231) 398-1000
Mailing address
375 RIVER ST, MANISTEE, MI 49660-2729
(231) 398-1950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/31/2008
Last updated
09/22/2022
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