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Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
Otsego Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LEMON (CEO)
(989) 731-2100
Entity
Organization
Contact information
Practice address
825 N CENTER AVE, GAYLORD, MI 49735
(989) 731-2140
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2140
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
08/22/2018
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