Organization · Type 2 NPI

Munson Healthcare Otsego Memorial Hospital

General Practice Physician · Indian River, MI

NPI number 1053661231 Active

Practice location

3860 S Straits Hwy
Indian River, MI 49749

Call (231) 238-0581 Map

Fax (231) 238-0856

Mailing address

271 Mccoy Rd W
Gaylord, MI 49735-8253

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

6 other providers at this address

NPI record

NPI: 1053661231
Entity type: Organization (Type 2)
Issued: Sep 14, 2012
Last updated: Oct 18, 2022
Status: Active

Other names

<unavail>
Munson Healthcare Omh Medical Group-Indian River · doing business as
Omh Medical Group - Indian River · doing business as

Authorized official

Mrs. Ellen O Smith
CEO
(989) 731-2230

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053661231

Munson Healthcare Otsego Memorial Hospital's National Provider Identifier is 1053661231, issued on Sep 14, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Indian River, MI. The record was last updated on Oct 18, 2022.