Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Munson Healthcare Manistee

Organization Family Medicine Physician · NPI 1144512849

Munson Healthcare Manistee is a Family Medicine Physician in Manistee, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
5
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Practice location Address checks out

1293 E Parkdale Ave
Manistee, MI 49660-8904
Phone: (231) 398-1750
Fax: (231) 398-1751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (MI)
Family Medicine Physician Taxonomy 207Q00000X (MI)
Gynecology Physician Taxonomy 207VG0400X (MI)
Orthopaedic Surgery Physician Taxonomy 207X00000X (MI)
Pediatrics Physician Taxonomy 208000000X (MI)

Record details

NPI number1144512849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Smith — President Ambulatory Clinics · (231) 935-5000
Other names West Shore Medical Center Physician Services; West Shore Medical Center Physician Services
NPI enumeratedMay 12, 2011
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022
Mailing address315 Oakgrove St, Manistee, MI 49660-1176

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