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General NPI Number Information
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NPI Number | 1699625293
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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 | 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 | 400 HOBART ST
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City | CADILLAC
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State | MI
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Zip | 49601-2331
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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 | 49684-2345
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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 | COO
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Name | BONNIE JEAN KRUSZKA
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Credential |
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Telephone | 440-487-2663
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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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