Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
OMH Medical Group - Lewiston, Munson Healthcare OMH Medical Group-Lewiston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R. LEMON (CEO)
(989) 731-2230
Entity
Organization
Contact information
Practice address
3040 BOURN ST, LEWISTON, MI 49756
(989) 786-4877
(989) 786-2187
Mailing address
829 N CENTER AVE, GAYLORD, MI 49735-1595
(989) 731-7777
(989) 731-7776
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
690020
MI
Other
Enumeration date
06/06/2008
Last updated
08/22/2018
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