AUSABLE MEDICAL ASSOCIATES, PC; NPI #1689697930

Contact Information

AUSABLE MEDICAL ASSOCIATES, PC

81 S. I-75 BUSINESS LOOP
GRAYLING, MI 49738-0393

Phone: 989-348-7400
Fax: 888-821-5005
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Family Medicine	207Q00000X	08	Physician/Family Practice
Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for AUSABLE MEDICAL ASSOCIATES, PC

NPI # 1689697930

LBN Legal business name AUSABLE MEDICAL ASSOCIATES, PC

Authorized official GERALD GERTISER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/26/2006

Last updated 01/27/2014 - About 12 years ago

Identifiers

MI	License #	4704159028
MI	License #	4704216377
MI	License #	5601002890
MI	License #	LH010698
MI	Medicaid	104563113
MI	Other	080B010120	MD'S & DO'S BCBS GRP #
MI	Other	500B010130	NP'S BCBS GROUP #

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AUSABLE MEDICAL ASSOCIATES, PC

Contact Information

Specialty

Family

Family Medicine

Medical

NPI Profile & details for AUSABLE MEDICAL ASSOCIATES, PC

Reviews for AUSABLE MEDICAL ASSOCIATES, PC