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
4230 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7256
(231) 935-5000
Mailing address
2513 MOMENTUM PL, CHICAGO, IL 60689-5325
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700B860160
BLUE CROSS GROUP
MI
01
—
CB9942
RAILROAD
MI
Enumeration date
07/28/2006
Last updated
10/13/2025
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