# MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cadillac Primary Care & OBGYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194646919
- **Authorized official:** KIRSTEN BETHANY KORTH-WHITE (PRES/CEO SOUTH REGION)
- **Authorized official phone:** (989) 348-0720

## Contact information

- **Practice address:** 7985 S MACKINAW TRL, CADILLAC, MI 49601-8111
- **Practice address phone:** (231) 876-6200
- **Practice address fax:** (231) 876-6299
- **Mailing address:** 7985 S MACKINAW TRL, CADILLAC, MI 49601-8111
- **Mailing address phone:** (231) 876-6200
- **Mailing address fax:** (231) 876-6299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/25/2026
- **Last updated:** 07/25/2026