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

Otsego Physician Services PC

Organization Internal Medicine Physician · NPI 1346054236

Otsego Physician Services PC is an Internal Medicine Physician in Gaylord, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

825 N Center Ave
Gaylord, MI 49735-1592
Phone: (989) 731-2100
Fax: (989) 731-2205
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Hospitalist Physician Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1346054236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Buller — Owner/President · (337) 609-1221
NPI enumeratedFebruary 3, 2025
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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