| Organization Name: | MUNSON MEDICAL CENTER |
| NPI Number: | 1013222587 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK A HEPLER (CFO) |
| Mailing Address: | 1105 Sixth St Traverse City |
| State: | MI US |
| Postal Code: | 496842345 |
| Phone Number: | 2319355000 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2010 |
| NPI Last Update Date: | 08/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |