# MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OMH MEDICAL GROUP, Munson Healthcare OMH Medical Group-Gaylord
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821064643
- **Authorized official:** MICHAEL FRYE MD (PRES. AMBULATORY & BUS. DEVELOPMENT)
- **Authorized official phone:** (704) 458-8010

## Contact information

- **Practice address:** 829 N CENTER AVE, GAYLORD, MI 49735
- **Practice address phone:** (989) 731-7708
- **Practice address fax:** (989) 731-7929
- **Mailing address:** 825 N CENTER AVE, GAYLORD, MI 49735-1592
- **Mailing address phone:** (989) 731-7920
- **Mailing address fax:** (989) 731-7776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 04/17/2026