# INDIGO HOSPITAL MEDICINE - OWOSSO, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760980148
- **Authorized official:** ANNE MCMORROW (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (231) 346-6807

## Contact information

- **Practice address:** 826 W KING ST, OWOSSO, MI 48867-2120
- **Practice address phone:** (231) 346-6800
- **Mailing address:** 10850 E TRAVERSE HWY STE 4400, TRAVERSE CITY, MI 49684-1320
- **Mailing address phone:** (231) 346-6800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 01/31/2018