Organization · Type 2 NPI

Munson Healthcare Otsego Memorial Hospital

Plastic Surgery Physician · Petoskey, MI

NPI number 1770374530 Active

Practice location

1619 Anderson Rd
Petoskey, MI 49770-9256

Fax (231) 417-6005

Mailing address

1105 Sixth St
Traverse City, MI 49684-2386

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XNone listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

11 other providers at this address

About NPI 1770374530

Munson Healthcare Otsego Memorial Hospital's National Provider Identifier is 1770374530, issued on May 13, 2025. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Petoskey, MI. The record was last updated on Apr 17, 2026.