Munson Healthcare Otsego Memorial Hospital
Internal Medicine, Nephrology in Petoskey, MI. Organization (NPI-2).
NPI number1154112902
StatusActive
Last updated in NPPESApr 17, 2026
Details
- NPI
- 1154112902
- Entity type
- Organization (NPI-2)
- Legal business name
- Munson Healthcare Otsego Memorial Hospital
- Organization subpart
- No
- Enumeration date
- May 13, 2025
- Certification date
- Apr 17, 2026
- Last updated
- Apr 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Other names
- Mhc Kidney And Hypertension Specialists- Petoskey (Doing Business As)
Practice location
1619 Anderson RdPetoskey, MI 49770-9256
Phone 231-417-6000 · Fax 231-417-6005
Mailing address
1105 Sixth StTraverse City, MI 49684-2386
Authorized official
Michael Frye
Pres Ambulatory & Bus. Development
7044588010
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