OrganizationActive
Munson Medical Center
NPI 1992463566 · Plastic Surgery Physician · Traverse City, MI
Provider details
- NPI number
- 1992463566
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bonnie Kruszka, Coo Munson Physician Network(231) 935-4995
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5085 Anna Dr Ste a
Traverse City, MI 49684-7475
Phone: (231) 935-0180
Street-level locationGet directions
Mailing address
5085 Anna Dr Ste a
Traverse City, MI 49684-7475
Other names (DBA / former)
- Doing business as
- Munson Healthcare Great Lakes Plastic Surgery & Skin Center
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.