Organization
AUSABLE MEDICAL ASSOCIATES, PC
Active
Other names
AuSable Urgent Care PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD W GERTISER II MSN, FNP-BC (PRESIDENT)
(989) 348-7400
Entity
Organization
Contact information
Practice address
81 S. I-75 BUSINESS LOOP, GRAYLING, MI 49738-0393
(989) 348-7400
(888) 821-5005
Mailing address
PO BOX 393, GRAYLING, MI 49738-0393
(989) 348-7400
(888) 821-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LH010698
MI
363AM0700X
Medical Physician Assistant
5601002890
MI
363LF0000X
Family Nurse Practitioner
Primary
4704159028
MI
363LF0000X
Family Nurse Practitioner
4704216377
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080B010120
MD'S & DO'S BCBS GRP #
MI
05
—
104563113
—
MI
01
—
500B010130
NP'S BCBS GROUP #
MI
Enumeration date
07/26/2006
Last updated
01/27/2014
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