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Organization
OTSEGO PHYSICIAN SERVICES PC
Active
Organization
OTSEGO PHYSICIAN SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE BULLER (OWNER/PRESIDENT)
(337) 609-1221
Entity
Organization
Contact information
Practice address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
(989) 731-2205
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/03/2025
Last updated
04/07/2026
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