Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
Otsego Memorial Hospital CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MAITLAND (CFO)
(231) 935-7840
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
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F910100
BS
MI
Enumeration date
07/13/2006
Last updated
09/22/2021
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