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

Munson Healthcare Otsego Memorial Hospital

Organization General Practice Physician · NPI 1053661231

Munson Healthcare Otsego Memorial Hospital is a General Practice Physician in Indian River, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

3860 S Straits Hwy
Indian River, MI 49749
Phone: (231) 238-0581
Fax: (231) 238-0856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (MI)

Record details

NPI number1053661231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Smith — Ceo · (989) 731-2230
Other names Munson Healthcare Omh Medical Group-Indian River; Omh Medical Group - Indian River
NPI enumeratedSeptember 14, 2012
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address271 McCoy Rd W, Gaylord, MI 49735-8253

Other providers in Indian River