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Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
Munson Healthcare OMH Medical Group-Lewiston RHC, OMH Medical Group Lewiston RHC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRYE MD (PRES AMBULATORY & BUS DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
3040 BOURN ST, LEWISTON, MI 49756
(989) 786-4877
(989) 786-2187
Mailing address
829 N CENTER AVE, GAYLORD, MI 49735-1595
(989) 731-2100
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
282NR1301X
Rural Acute Care Hospital
238620
MI
Other
Enumeration date
08/31/2009
Last updated
04/17/2026
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