MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL - NPI 1558152306

Q: What is Munson Healthcare Otsego Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

On this page

About Munson Healthcare Otsego Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI 1558152306), doing business as Mhc Traverse Heart And Vascular- Petoskey, is a healthcare organization registered as a cardiovascular disease in Petoskey, Michigan and active in the NPI registry since May 2025. The organization lists Bonnie Jean Kruszka, Coo Physician Network, as its authorized official.

NPPES Registry Identity

NPI1558152306

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Location Address1619 ANDERSON RDPetoskey, MI 49770-9256

Mailing Address1105 Sixth StTraverse City, MI 49684-2386

Phone(231) 417-6000

Fax(231) 417-6005

Organization SubpartNo

Authorized OfficialBonnie Jean KruszkaCoo Physician Network · (231) 935-4995

Enumeration DateMay 13, 2025

NPPES CertifiedMay 13, 2025

✔ NPI 1558152306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1619 ANDERSON RD, Petoskey, MI 49770

Open in Google Maps ↗

Other Names 1

Doing Business AsMhc Traverse Heart And Vascular- Petoskey

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Internal Medicine (Nephrology)