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General NPI Number Information
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NPI Number | 1093665606
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Entity Type | Organization
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Legal Business Name | MUNSON HEALTHCARE MANISTEE HOSPITAL
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1465 E PARKDALE AVE
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City | MANISTEE
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State | MI
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Zip | 49660-9709
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Country | US
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Telephone | 231-935-7941
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 SIXTH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2386
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Country | US
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Telephone | 231-935-7941
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO SOUTH REGION
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Name | PETER EDWARD MARINOFF
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Credential |
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Telephone | 231-352-2285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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