DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MUNSON MEDICAL CENTER

MEDICARE: MUNSON MEDICAL CENTER
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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1972452639
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUNSON MEDICAL CENTER
Provider Business Mailing Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2345
Country : US
Telephone Number : 231-935-7941
Fax Number :
Provider Business Practice Location Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2345
Country : US
Telephone Number : 231-935-7941
Fax Number :
Authorized Official
Title or Position : COO
Name : BONNIE JEAN KRUSZKA
Credential :
Telephone Number : 440-487-2663
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

Similar Medicare Providers

1477059160 — CODY ALAN OVERMYER MD
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-6380
Practice Fax:
1730539149 — SHOBA SOSALE-BERKUCHEL RYAN DNP, PMHNP-BC
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-5000
Practice Fax:
1225477243 — COLIN SEGUIN D.O.
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-5000
Practice Fax:
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
1407854185 — RICHARD DAVID ENTZ MD
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-6370
Practice Fax: 231-935-6451
1437142791 — DR. AMY DENISE ROBERTSON MD
Practice Location Address:
1105 SIXTH ST
TRAVERSE CITY, MI
49684-2345
Practice Phone: 231-935-5000
Practice Fax: 231-922-9271

Directions to “MUNSON MEDICAL CENTER ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.