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

Munson Healthcare Otsego Memorial Hospital

Organization Family Medicine Physician · NPI 1174313852

Munson Healthcare Otsego Memorial Hospital is a Family Medicine Physician in Petoskey, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone: (231) 417-6000
Fax: (231) 417-6005
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1174313852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Frye — Pres Ambulatory & Bus Development · (704) 458-8010
Other names Munson Healthcare Petoskey Community Health Center
NPI enumeratedMay 7, 2025
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address1105 Sixth St, Traverse City, MI 49684-2345

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