Organization · Type 2 NPI

Munson Healthcare Grayling

Family Medicine Physician · Prudenville, MI

NPI number 1952787129 Active

Practice location

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624

Call (989) 366-2900 Map

Mailing address

3779 Momentum Pl
Chicago, IL 60689-5337

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist	103TC0700X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Pediatrics Physician	208000000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15 other providers at this address

Other family medicine physician providers in Prudenville

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NPI record

NPI: 1952787129
Entity type: Organization (Type 2)
Issued: Aug 10, 2015
Last updated: Apr 16, 2026
Status: Active
Subpart: Yes of Munson Healthcare

Other names

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Prudenville Community Health Center · doing business as
Prudenville Community Health Center · doing business as

Authorized official

Michael Frye, MD
Pres. Ambulatory & 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 1952787129

Munson Healthcare Grayling's National Provider Identifier is 1952787129, issued on Aug 10, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Prudenville, MI. The record was last updated on Apr 16, 2026.