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

Munson Healthcare Otsego Memorial Hospital

Organization Plastic Surgery Physician · NPI 1770374530

Munson Healthcare Otsego Memorial Hospital provides Plastic Surgery Physician services in Petoskey, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone: (231) 417-6000
Fax: (231) 417-6005
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1770374530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Frye — Pres Ambulatory & Bus Development · (704) 458-8010
Other names Mhc Great Lakes Plastic Surgery & Skin Center- Petoskey
NPI enumeratedMay 13, 2025
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address1105 Sixth St, Traverse City, MI 49684-2386

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