Organization
AUSABLE PRIMARY CARE PC
Active
Parent organization
AUSABLE PRIMARY CARE PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUSABLE PRIMARY CARE PC
Authorized official
DR. LAUREY R HANSELMAN DO (PRESIDENT)
(989) 348-1465
Entity
Organization
Contact information
Practice address
1200 W. NORTH DOWN RIVER RD, GRAYLING, MI 48738
(989) 348-1465
(989) 348-1798
Mailing address
PO BOX 422, 1200 W. NORTH DOWN RIVER RD, GRAYLING, MI 49738-0422
(989) 348-1465
(989) 348-1798
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
51010106998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962590489
NPI
MI
Enumeration date
10/10/2006
Last updated
10/03/2007
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