Organization
MUNSON MEDICAL CENTER
Active
Other names
Infectious Disease Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE KRUSZKA (COO MUNSON PHYSICIAN NETWORK)
(231) 935-4995
Entity
Organization
Contact information
Practice address
1221 6TH ST, SUITE 206, TRAVERSE CITY, MI 49684-2359
(231) 935-5090
(231) 935-5093
Mailing address
1221 6TH ST, SUITE 206, TRAVERSE CITY, MI 49684-2359
(231) 935-5090
(231) 935-5093
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440B812420
BCBS GROUP NUMBER
MI
01
—
700B860160
BCBS GROUP PIN
MI
01
—
CB9942
RAILROAD GROUP
MI
Enumeration date
10/25/2006
Last updated
10/04/2024
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