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General NPI Number Information
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NPI Number | 1104080621
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Entity Type | Organization
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Legal Business Name | MUNSON MEDICAL CENTER
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 1105 6TH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2345
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Country | US
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Telephone | 231-935-6181
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Fax | 231-935-7952
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Provider Business Mailing Address
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Address Line | PO BOX 1131
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City | TRAVERSE CITY
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State | MI
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Zip | 49685-1131
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Country | US
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Telephone | 231-935-6181
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Fax | 231-935-7952
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Authorized Official
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Title or Position | CEO
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Name | KIRSTEN BETHANY KORTH-WHITE
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Credential |
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Telephone | 989-348-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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