Organization · Type 2 NPI

Munson Healthcare Otsego Memorial Hospital

General Practice Physician · Elmira, MI

NPI number 1265871339 Active

Practice location

2572 N US Highway 131
Elmira, MI 49730

Call (989) 731-7708 Map

Mailing address

829 N Center Ave
Gaylord, MI 49735-1595

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.

5 other providers at this address

Munson Healthcare Otsego Memorial HospitalMulti-Specialty Clinic/Center Elmira, MI NPI 1306555917
Munson Healthcare Otsego Memorial HospitalRural Health Clinic/Center Elmira, MI NPI 1992146807
Emily E. Martinez, NPPhysician Assistant Elmira, MI NPI 1306202023
Marcella Hill, PA-CPhysician Assistant Elmira, MI NPI 1831345263
Samuel J. Russo, DOFamily Medicine Physician Elmira, MI NPI 1962510636

NPI record

NPI: 1265871339
Entity type: Organization (Type 2)
Issued: Jun 21, 2013
Last updated: Aug 22, 2018
Status: Active

Other names

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Munson Healthcare Omh Medical Group-Elmira · doing business as
Omh Medical Group - Boyne Valley · doing business as

Authorized official

Mr. Thomas R Lemon
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 1265871339

Munson Healthcare Otsego Memorial Hospital's National Provider Identifier is 1265871339, issued on Jun 21, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Elmira, MI. The record was last updated on Aug 22, 2018.