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 1639986565

Munson Healthcare Otsego Memorial Hospital is a Family Medicine Physician in Petoskey, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

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

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1639986565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Frye — Pres Ambulatory & Bus. Development · (704) 458-8010
NPI enumeratedDecember 13, 2024
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address1105 Sixth St, Traverse City, MI 49684-2345

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