Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Parent organization
MUNSON HEALTHCARE
Other names
CADILLAC PRIMARY CARE & OBGYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE
Authorized official
MICHAEL FRYE MD (PRESIDENT AMB AND BUS DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
7985 MACKINAW TRL, CADILLAC, MI 49601-8111
(231) 876-6200
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/10/2015
Last updated
04/09/2026
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