JACK ELDER, MD
Urology
Active
Individual
NPI: 1457385072
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Urology | 208800000X | No | 4301072611 (MI) |
Frequently Asked Questions
NPI 1457385072 is the National Provider Identifier for JACK ELDER, MD, a Urology provider located in Detroit, MI. This NPI was enumerated on July 10, 2006.
JACK ELDER, MD practices at 2799 W GRAND BLVD, Detroit, MI 48202.
Quick Facts
- NPI
- 1457385072
- Type
- Individual
- Enumerated
- Jul 10, 2006
- Last Updated
- Jan 9, 2013
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