MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL - NPI 1770374530

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

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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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 1770374530), doing business as Mhc Great Lakes Plastic Surgery & Skin Center- Petoskey, is a healthcare organization registered as a plastic surgery in Petoskey, Michigan and active in the NPI registry since May 2025. The organization lists Michael Frye, Pres Ambulatory & Bus Development, as its authorized official.

NPPES Registry Identity

NPI1770374530

Entity TypeOrganization

Primary Taxonomy208200000X

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 OfficialMichael FryePres Ambulatory & Bus Development · (704) 458-8010

Enumeration DateMay 13, 2025

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1770374530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1619 ANDERSON RD, Petoskey, MI 49770

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Other Names 1

Doing Business AsMhc Great Lakes Plastic Surgery & Skin Center- 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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)