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General NPI Number Information
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NPI Number | 1235058298
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Entity Type | Organization
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Legal Business Name | MUNSON HEALTHCARE CADILLAC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 3922 CEDAR RUN RD
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-9687
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Country | US
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Telephone | 231-392-0430
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Fax | 231-935-3438
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Provider Business Mailing Address
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Address Line | 3922 CEDAR RUN RD
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-9687
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Country | US
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Telephone | 231-392-0430
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Fax | 231-935-3438
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Authorized Official
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Title or Position | PRES. AMBULATORY & BUS. DEVELOPMENT
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Name | MICHAEL FRYE
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Credential |
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Telephone | 704-458-8010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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