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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
1207Q00000XFamily Medicine PhysicianMI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10A51004OTHERMIBCN FP PROFESSIONAL GRP
231459366OTHERMIFIRST HEALTH FP GROUP
3900001729OTHERMIPRIORITY HEALTH FP GROUP
40A51004OTHERMIBLUE SHIELD FP GROUP

General Provider Information

NPI Number : 1790867216
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Provider Business Mailing Address
First Line : 223 N PARK ST
Second Line :
City : BOYNE CITY
State : MI
Zip : 49712-1220
Country : US
Telephone Number : 231-582-5314
Fax Number : 231-582-5338
Provider Business Practice Location Address
First Line : 223 N PARK ST
Second Line :
City : BOYNE CITY
State : MI
Zip : 49712-1220
Country : US
Telephone Number : 231-582-5314
Fax Number : 231-582-5338
Authorized Official
Title or Position : COO MUNSON PHYSICIAN NETWORK
Name : BONNIE KRUSZKA
Credential :
Telephone Number : 231-935-4995
Provider Enumeration Date : 10/20/2006
Last Update Date : 10/02/2024

Similar Medicare Providers

1518971654 — MARK C ANTONISHEN M.D.
Practice Location Address:
223 N PARK ST
BOYNE CITY, MI
49712-1220
Practice Phone: 231-582-8010
Practice Fax: 231-582-5338
1417068891 — AMY L MITCHELL MD
Practice Location Address:
223 N PARK ST
BOYNE CITY, MI
49712-1220
Practice Phone: 231-582-5314
Practice Fax: 231-582-5338
1619088044 — PAMELA R KNYSZ MD
Practice Location Address:
223 N PARK ST
BOYNE CITY, MI
49712-1220
Practice Phone: 231-582-5314
Practice Fax: 231-582-5338
1992816334 — ANDREA L WENDLING MD
Practice Location Address:
223 N PARK ST
BOYNE CITY, MI
49712-1220
Practice Phone: 231-582-5314
Practice Fax: 231-582-5338
1386755726 — CATHERINE A WONSKI MD
Practice Location Address:
223 N PARK ST
BOYNE CITY, MI
49712-1220
Practice Phone: 231-582-5314
Practice Fax: 231-582-5338
1194836502 — MICHAEL J HARMELING MD
Practice Location Address:
223 N PARK ST
BOYNE CITY, MI
49712-1220
Practice Phone: 231-582-5314
Practice Fax: 231-582-5338

Directions to “MUNSON HEALTHCARE CHARLEVOIX HOSPITAL ” Practice Location

Language Start Address Practice Location
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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