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Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
Otsego Memorial Emergency PA's
Organization subpart
No
Provider details
NPI number
Authorized official
TOM LEMON (CEO)
(989) 721-2100
Entity
Organization
Contact information
Practice address
825 N CENTER AVE, GAYLORD, MI 49735
(989) 731-2100
(989) 731-2205
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
(989) 731-2205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2018
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