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) 867-6200
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2300
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00009
BLUE CROSS
MI
05
—
238635
—
MI
Enumeration date
11/06/2014
Last updated
05/07/2026
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