Provider Demographics
NPI:1326105818
Name:BEARSS KERSTING, TERESA (PAC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:BEARSS KERSTING
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2572 N US HIGHWAY 131
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:MI
Mailing Address - Zip Code:49730-8252
Mailing Address - Country:US
Mailing Address - Phone:989-731-7700
Mailing Address - Fax:989-731-2999
Practice Address - Street 1:2572 N US HIGHWAY 131
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:MI
Practice Address - Zip Code:49730
Practice Address - Country:US
Practice Address - Phone:989-731-7700
Practice Address - Fax:989-731-2999
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601003998363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant