MUNSON MEDICAL CENTER NPI 1992478705

NPI Information

  • NPI: 1992478705
  • Provider Name: MUNSON MEDICAL CENTER
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 217 S MADISON ST
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 392-8400

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NPI Details

MUNSON MEDICAL CENTER is a hematology and oncology internal medicine in Traverse City, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MUNSON MEDICAL CENTER NPI is 1992478705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

217 S MADISON ST
TRAVERSE CITY, MI
ZIP 49684-321
Phone: (231) 392-8400
Fax: (231) 392-8467

The provider's authorized official is Alicia Maitland .
The authorized official title is Cfo and has the following contact phone number (231) 935-7840.

The enumeration date for this NPI number is 7/28/2021 and was last updated on 7/28/2021.

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
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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