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MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL NPI 1427064054


NPI Information

NPI: 1427064054
Provider Name: MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 23D2195681

Address:
829 N CENTER AVE
SUITE 160
GAYLORD, MI
ZIP 49735
Phone: (989) 732-7131
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MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL is an urology in Gaylord, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL NPI is 1427064054. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

829 N CENTER AVE
SUITE 160
GAYLORD, MI
ZIP 49735
Phone: (989) 732-7131

The provider's authorized official is Kevin Wahr .
The authorized official title is Chief Revenue Officer and has the following contact phone number (989) 731-7777.

The CLIA number assigned to this NPI record is 23D2195681 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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