Organization · Type 2 NPI

Munson Healthcare Otsego Memorial Hospital

General Practice Physician · Gaylord, MI

NPI number 1821064643 Active

Practice location

829 N Center Ave
Gaylord, MI 49735

Call (989) 731-7708 Map

Fax (989) 731-7929

Mailing address

825 N Center Ave
Gaylord, MI 49735-1592

Other practice locations

1619 Anderson Rd, Petoskey, MI 49770-9256 · (231) 417-6000

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	None listed
Surgery Physician	208600000X	None listed
Urology Physician	208800000X	None listed
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.

25 other providers at this address

Other general practice physician providers in Gaylord

See all in Gaylord →

NPI record

NPI: 1821064643
Entity type: Organization (Type 2)
Issued: Feb 23, 2006
Last updated: Apr 17, 2026
Status: Active

Other names

<unavail>
Munson Healthcare Omh Medical Group-Gaylord · doing business as
Omh Medical Group · doing business as
Omh Medical Group · doing business as

Authorized official

Michael Frye, MD
Pres. Ambulatory & Bus. Development
(704) 458-8010

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 1821064643

Munson Healthcare Otsego Memorial Hospital's National Provider Identifier is 1821064643, issued on Feb 23, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gaylord, MI. The record was last updated on Apr 17, 2026.