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NPI Code Detail

MEDICARE: MUNSON HEALTHCARE CADILLAC

MEDICARE: MUNSON HEALTHCARE CADILLAC
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
1273R00000XPsychiatric Hospital Unit
22084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1720955081
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUNSON HEALTHCARE CADILLAC
Provider Business Mailing Address
First Line : 1105 SIXTH ST STE D6
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2345
Country : US
Telephone Number : 231-935-6380
Fax Number : 231-935-6920
Provider Business Practice Location Address
First Line : 1105 SIXTH ST STE D6
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2345
Country : US
Telephone Number : 231-935-6380
Fax Number : 231-935-6920
Authorized Official
Title or Position : COO
Name : BONNIE JEAN KRUSZKA
Credential : NP
Telephone Number : 231-935-4995
Provider Enumeration Date : 10/21/2025
Last Update Date : 12/15/2025

Similar Medicare Providers

1902776495 — JULIE FAWAZ
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-5000
Practice Fax:
1972948602 — CHRISTOPHER MICHAEL ARCHANGELI M.D.
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-6380
Practice Fax: 231-935-6920
1891113148 — MOLLY BRITTON
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-6880
Practice Fax: 231-935-6873
1457913337 — MRS. HANNAH M POPA CNP
Practice Location Address:
1105 SIXTH ST STE D6
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-6380
Practice Fax: 231-935-6920
1285822270 — MARY KLYM ACSW,LMSW
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-6911
Practice Fax: 231-935-6920
1558364315 — DR. KERSTI BRUINING M.D.
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-7514
Practice Fax: 231-392-0039

Directions to “MUNSON HEALTHCARE CADILLAC ” Practice Location

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