# AUSABLE PRIMARY CARE PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AUSABLE PRIMARY CARE PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962590489
- **Legal business name:** AUSABLE PRIMARY CARE PC
- **Authorized official:** DR. LAUREY R HANSELMAN DO (PRESIDENT)
- **Authorized official phone:** (989) 348-1465

## Contact information

- **Practice address:** 1200 W. NORTH DOWN RIVER RD, GRAYLING, MI 48738
- **Practice address phone:** (989) 348-1465
- **Practice address fax:** (989) 348-1798
- **Mailing address:** PO BOX 422, 1200 W. NORTH DOWN RIVER RD, GRAYLING, MI 49738-0422
- **Mailing address phone:** (989) 348-1465
- **Mailing address fax:** (989) 348-1798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 51010106998 | MI | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 10/03/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1962590489 | NPI | MI |