Provider Type Icon

MUNSON MEDICAL GROUP NPI 1114472370


NPI Information

NPI: 1114472370
Provider Name: MUNSON MEDICAL GROUP

Doing Business As: MUNSON NEPHROLOGY CONSULTANTS

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 23D0381280

Address:
4062 W ROYAL DR
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-0338
Get Directions

MUNSON MEDICAL GROUP is a nephrology internal medicine in Traverse City, MI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MUNSON MEDICAL GROUP NPI is 1114472370. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Munson Nephrology Consultants.

The provider's business location address is:

4062 W ROYAL DR
TRAVERSE CITY, MI
ZIP 49684-965
Phone: (231) 935-0338
Fax: (231) 935-3421

The provider's authorized official is Mark Hepler .
The authorized official title is Cfo and has the following contact phone number (231) 935-6702.

The CLIA number assigned to this NPI record is 23D0381280 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.