Individual
GERALD WILLIAM GERTISER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1200 W NORTH DOWN RIVER RD, GRAYLING, MI 49738-7752
(989) 348-7400
(989) 348-6268
Mailing address
PO BOX 393, GRAYLING, MI 49738-0393
(989) 348-7400
(989) 348-6268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704159028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4563113
—
MI
01
—
5000B010130
BCBSM
MI
Enumeration date
01/03/2006
Last updated
04/18/2011
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