Organization · Type 2 NPI

Munson Healthcare Otsego Memorial Hospital

Nephrology Physician · Petoskey, MI

NPI number 1154112902 Active

Practice location

1619 Anderson Rd
Petoskey, MI 49770-9256

Call (231) 417-6000 Map

Fax (231) 417-6005

Mailing address

1105 Sixth St
Traverse City, MI 49684-2386

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300XNone listed

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

11 other providers at this address

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About NPI 1154112902

Munson Healthcare Otsego Memorial Hospital's National Provider Identifier is 1154112902, issued on May 13, 2025. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Petoskey, MI. The record was last updated on Apr 17, 2026.