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NPI Code Detail

MEDICARE: MUNSON HEALTHCARE CHARLEVOIX HOSPITAL

MEDICARE: MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMI
2207Q00000XFamily Medicine PhysicianMI
3208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10A51041OTHERMIBLUE SHIELD

General Provider Information

NPI Number : 1326124058
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Provider Business Mailing Address
First Line : 14709 W. UPRIGHT STREET
Second Line :
City : CHARLEVOIX
State : MI
Zip : 49720-1949
Country : US
Telephone Number : 231-547-6519
Fax Number : 231-547-5404
Provider Business Practice Location Address
First Line : 14709 W. UPRIGHT STREET
Second Line :
City : CHARLEVOIX
State : MI
Zip : 49720-1949
Country : US
Telephone Number : 231-547-6519
Fax Number : 231-547-5404
Authorized Official
Title or Position : COO MUNSON PHYSICIAN NETWORK
Name : BONNIE KRUSZKA
Credential :
Telephone Number : 231-935-4995
Provider Enumeration Date : 10/27/2006
Last Update Date : 10/02/2024

Similar Medicare Providers

1750373437 — DR. EDWARD E NEWCOMB M.D.
Practice Location Address:
14705 W UPRIGHT ST
CHARLEVOIX, MI
49720-1949
Practice Phone: 231-547-1308
Practice Fax: 231-392-7332
1659363299 — DR. MELODIE R BROWN M.D.
Practice Location Address:
14705 W UPRIGHT ST
CHARLEVOIX, MI
49720-1949
Practice Phone: 231-547-1308
Practice Fax: 231-392-7332
1922090547 — DR. DENNIS M JOY M.D.
Practice Location Address:
14705 W UPRIGHT ST
CHARLEVOIX, MI
49720-1949
Practice Phone: 231-547-1308
Practice Fax: 231-392-7332
1376534495 — ANNA G YOUNG M.D.
Practice Location Address:
14705 W UPRIGHT ST
CHARLEVOIX, MI
49720-1949
Practice Phone: 231-547-8777
Practice Fax: 231-547-8638
1710079256 — GERALYN DOSKOCH MD
Practice Location Address:
14705 W UPRIGHT ST
CHARLEVOIX, MI
49720-1949
Practice Phone: 231-547-6520
Practice Fax: 231-547-5404
1558581355 — KATHRYN HELEN FRAKE PA
Practice Location Address:
14705 W UPRIGHT ST
CHARLEVOIX, MI
49720-1949
Practice Phone: 231-547-8777
Practice Fax: 231-547-8638

Directions to “MUNSON HEALTHCARE CHARLEVOIX HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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