MEDICARE: CAITLYN MONKS

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
1	207V00000X	Obstetrics & Gynecology Physician	5101022573	MI

General Provider Information

NPI Number	:	1558710590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLYN MONKS

Provider Business Mailing Address
First Line	:	14651 W UPRIGHT ST
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-1266
Country	:	US
Telephone Number	:	231-547-4477
Fax Number	:

Provider Business Practice Location Address
First Line	:	14651 W UPRIGHT ST
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-1266
Country	:	US
Telephone Number	:	231-547-4477
Fax Number	:	231-392-7334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2016
Last Update Date	:	11/22/2024

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Directions to “ CAITLYN MONKS ” Practice Location

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