| Infectious Disease Consultants | |
|
1221 6th St Suite 206 Traverse City MI 49684-2359 | |
| (231) 935-5090 | |
| (231) 935-5093 |
| Full Name | Infectious Disease Consultants |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1221 6th St, Traverse City, Michigan |
| Authorized Official Name and Position | Bonnie Kruszka (COO MUNSON PHYSICIAN NETWORK) |
| Authorized Official Contact | 2319354995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants 1221 6th St Suite 206 Traverse City MI 49684-2359 Ph: (231) 935-5090 | Infectious Disease Consultants 1221 6th St Suite 206 Traverse City MI 49684-2359 Ph: (231) 935-5090 |
| NPI Number | 1700960622 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700960622 | NPI | - | NPPES |
| CB9942 | Other | MI | RAILROAD GROUP |
| 700B860160 | Other | MI | BCBS GROUP PIN |
| 440B812420 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
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