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

Munson Healthcare Otsego Memorial Hospital

Organization Plastic Surgery Physician · NPI 1770374530

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

In the registry since
2025

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

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1770374530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Frye — Pres Ambulatory & Bus Development · (704) 458-8010
Other names Mhc Great Lakes Plastic Surgery & Skin Center- Petoskey
NPI enumeratedMay 13, 2025
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address1105 Sixth St, Traverse City, MI 49684-2386

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