Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
Munson Healthcare Petoskey Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRYE MD (PRES AMBULATORY & BUS DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
1619 ANDERSON RD, PETOSKEY, MI 49770-9256
(231) 417-6000
(231) 417-6005
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
04/17/2026
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