Organization · Type 2 NPI

Munson Healthcare Otsego Memorial Hospital

Obstetrics & Gynecology Physician · Cadillac, MI

NPI number 1366828527 Active

Practice location

7985 Mackinaw Trl
Cadillac, MI 49601-8111

Call (231) 876-6200 Map

Mailing address

1105 Sixth St
Traverse City, MI 49684-2345

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Adult Health Nurse Practitioner	363LA2200X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

15 other providers at this address

Other obstetrics & gynecology physician providers in Cadillac

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NPI record

NPI: 1366828527
Entity type: Organization (Type 2)
Issued: Aug 10, 2015
Last updated: Oct 19, 2026
Status: Active
Subpart: Yes of Munson Healthcare

Other names

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Cadillac Primary Care & Obgyn · doing business as
Cadillac Primary Care & Obgyn · doing business as

Authorized official

Michael Frye, MD
President Amb and Bus Development
(704) 458-8010

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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 1366828527

Munson Healthcare Otsego Memorial Hospital's National Provider Identifier is 1366828527, issued on Aug 10, 2015. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Cadillac, MI. The record was last updated on Oct 19, 2026.