Organization
MUNSON MEDICAL CENTER
Active
Other names
T SCHERMERHORN MD
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HEPLER (CFO)
(231) 935-5000
Entity
Organization
Contact information
Practice address
1221 6TH ST, SUITE 100, TRAVERSE CITY, MI 49684-2359
(231) 392-0460
(231) 392-0643
Mailing address
1221 6TH ST, SUITE 100, TRAVERSE CITY, MI 49684-2359
(231) 392-0460
(231) 392-0643
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700B860160
BCBS MICHIGAN GROUP
MI
01
—
CB9942
RAIL ROAD GROUP NUMBER
MI
01
—
TS083353
BCBS LICENSE
MI
Enumeration date
07/13/2006
Last updated
12/01/2009
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