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MUNSON HEALTHCARE CADILLAC NPI 1932726577


NPI Information

NPI: 1932726577
Provider Name: MUNSON HEALTHCARE CADILLAC

Doing Business As: MUNSON HEALTHCARE CADILLAC UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 23D2010234

Address:
1011 SUNNYSIDE DR
CADILLAC, MI
ZIP 49601
Phone: (231) 779-2565
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MUNSON HEALTHCARE CADILLAC is an urology in Cadillac, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MUNSON HEALTHCARE CADILLAC NPI is 1932726577. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Munson Healthcare Cadillac Urology.

The provider's business location address is:

1011 SUNNYSIDE DR
CADILLAC, MI
ZIP 49601-735
Phone: (231) 779-2565
Fax: (231) 775-0744

The provider's authorized official is Ellen O Smith .
The authorized official title is President Ambulatory Clinics and has the following contact phone number (231) 935-6512.

The CLIA number assigned to this NPI record is 23D2010234 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/30/2020 and was last updated on 4/2/2024.


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
1208800000XUrologyYes

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

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