Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jurgen Gernot Runschke, MD

Individual provider Emergency Medicine Physician · NPI 1134166473

Dr. Jurgen Gernot Runschke, MD is a Vascular Surgery in Grand Rapids, Michigan. Qualified in 2002, 24 years ago. Practices with A and G Aesthetics PLLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Michigan, Minnesota and New York.

Years since qualifying
24
Licensed in
IN, MI, MN, NY
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

630 Kenmoor Ave SE Ste 105
Grand Rapids, MI 49546-8626
Phone: (616) 204-5698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 — (906) 776-5555

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301080098 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 321283 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01092546A (IN)
Surgery Physician Taxonomy 208600000X · Licence 4301080098 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 65288 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301080098 (MI)

Record details

NPI number1134166473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice A And G Aesthetics Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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