Organization · Type 2 NPI

Munson Healthcare Otsego Memorial Hospital

General Practice Physician · Gaylord, MI

NPI number 1487791695 Active

Practice location

1996 Walden Dr
Gaylord, MI 49735

Call (989) 731-4111 Map

Fax (989) 705-8511

Mailing address

825 N Center Ave
Gaylord, MI 49735-1592

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	690020 (MI)

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

Other general practice physician providers in Gaylord

See all in Gaylord →

NPI record

NPI: 1487791695
Entity type: Organization (Type 2)
Issued: Jan 30, 2007
Last updated: Aug 22, 2018
Status: Active

Other names

<unavail>
Munson Healthcare Omh Walk-In Clinic · doing business as
Medcare Walkin Clinic · other name
Medcare Walkin Clinic · other name

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 1487791695

Munson Healthcare Otsego Memorial Hospital's National Provider Identifier is 1487791695, issued on Jan 30, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gaylord, MI. The record was last updated on Aug 22, 2018.