Organization · Type 2 NPI

Munson Healthcare Otsego Memorial Hospital

Rural Health Clinic/Center · Petoskey, MI

NPI number 1174313852 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 49684-2345

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1174313852

Munson Healthcare Otsego Memorial Hospital's National Provider Identifier is 1174313852, issued on May 7, 2025. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Petoskey, MI. The record was last updated on Apr 17, 2026.