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

Dr. Kevin L Gietzen, DO

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1538189154

Dr. Kevin L Gietzen, DO is an Otolaryngology in Petoskey, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1998, 28 years ago. Practices with Great Lakes Ear Nose and Throat Specialists PC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1114 Charlevoix Ave
Petoskey, MI 49770-9701
Phone: (231) 489-8151
Fax: (231) 668-7794
Show map & directions

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

Additional practice locations (1)

  • 101 Oxbow Dr, Alpena, MI 49707-1448 — (231) 489-8151

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 5101013761 (MI)

Record details

NPI number1538189154
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1998 (28 years in practice)
Group practice Great Lakes Ear Nose And Throat Specialists Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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