Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Munson Healthcare Otsego Memorial Hospital

Organization General Practice Physician · NPI 1053661231

Munson Healthcare Otsego Memorial Hospital provides General Practice Physician services in Indian River, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

3860 S Straits Hwy
Indian River, MI 49749
Phone: (231) 238-0581
Fax: (231) 238-0856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (MI)

Record details

NPI number1053661231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Smith — Ceo · (989) 731-2230
Other names Munson Healthcare Omh Medical Group-Indian River; Omh Medical Group - Indian River
NPI enumeratedSeptember 14, 2012
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address271 McCoy Rd W, Gaylord, MI 49735-8253

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