Ausable Primary Care PC
Organization Active NPI General Practice Physician · Grayling, MI
NPI 1962590489 · NPPES record last updated Oct 3, 2007
Key facts
- NPI
- 1962590489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 51010106998 (MI)
- Legal business name
- AUSABLE PRIMARY CARE PC
- Practice address
- 1200 W. North Down River Rd
Grayling, MI 48738 - Phone
- (989) 348-1465
- Fax
- (989) 348-1798
- NPI assigned
- Oct 10, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AUSABLE PRIMARY CARE PC
Authorized official
- Name
- Dr. Laurey R Hanselman, DO
- Title
- President
- Phone
- (989) 348-1465
National Provider Directory
- Part of
- Ausable Primary Care PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 51010106998 | MI | Yes |
Addresses
Primary practice location
1200 W. North Down River Rd
Grayling, MI 48738
Mailing address
PO Box 422
1200 W. North Down River Rd
Grayling, MI 49738-0422
Phone (989) 348-1465
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962590489 | Other | MI | NPI |
Other providers in Grayling, MI
- Atrium Grayling LLC
- Robert A Aubry
- Ausable Family Dental
- Ausable Free Clinic
- Ausable Medical Associates, PC
- Ausable Urology, P.C.
- Robert Louis Balestrero
- Jewell Barnard
- Baruch SLS, Inc.
- Margaret Katherine Behre
All providers in Grayling, MI · General Practice Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.