1457385072 Jack S Elder, MD
Urology Physician
Active
Basic Information
- Full Name
- Jack S Elder, MD
- Gender
- Male
- Enumeration Date
- July 10, 2006
- Last Update
- January 9, 2013
Practice Location
- Address
- 2799 W GRAND BLVD
DETROIT, MI 482022608 - Phone
- (313) 916-2600
- Fax
- (313) 916-9539
Mailing Address
- Address
- 1 FORD PL
2E
DETROIT, MI 482023450 - Phone
- (313) 916-2600
- Fax
- (313) 916-9539
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Urology Physician | 208800000X | Urology | 35-053721 | OH | Primary |
| Urology Physician | 208800000X | Urology | 4301072611 | MI | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020H277290 | 01 | MI | BCBS |
| 1900370 | 01 | OH | UHC |
| 0633587 | 05 | OH | N/A |
| 000000026163 | 01 | OH | ANTHEM |
| 1396817714 | 01 | MI | GROUP NPI |
| 001953975002 | 05 | PA | N/A |
| 5196618 | 05 | MI | N/A |
| P00388789 | 01 | OH | RAILROAD MEDICARE |
Frequently Asked Questions
What is Jack S Elder, MD's NPI number?
Jack S Elder, MD's NPI number is 1457385072.
Which doctor has NPI number 1457385072?
The doctor with NPI number 1457385072 is Jack S Elder, MD.
What is Jack S Elder, MD's practice address?
Jack S Elder, MD's practice address is 2799 W GRAND BLVD, DETROIT, MI, 482022608.
Which doctor practices at 2799 W GRAND BLVD, DETROIT, MI, 482022608?
Jack S Elder, MD practices at 2799 W GRAND BLVD, DETROIT, MI, 482022608.
What is Jack S Elder, MD's mailing address?
Jack S Elder, MD's mailing address is 1 FORD PL, 2E, DETROIT, MI, 482023450.
What is Jack S Elder, MD's phone number?
Jack S Elder, MD's phone number is (313) 916-2600.
Who is (313) 916-2600?
(313) 916-2600 is the phone number for Jack S Elder, MD.
What is Jack S Elder, MD's specialty?
Jack S Elder, MD's specialty is Urology Physician.
What type of doctor is Jack S Elder, MD?
Jack S Elder, MD is a Urology Physician.
Is Jack S Elder, MD a Urology?
Yes, Jack S Elder, MD is a Urology.
Is Jack S Elder, MD still practicing?
Yes, Jack S Elder, MD is currently practicing.
Is Jack S Elder, MD accepting new patients?
Jack S Elder, MD may be accepting new patients. Please call their office at (313) 916-2600 to inquire about availability.
Is NPI 1457385072 still active?
Yes, NPI 1457385072 is currently active.
Where does Jack S Elder, MD practice?
Jack S Elder, MD practices in DETROIT, MI.
Is Jack S Elder, MD a male or female doctor?
Jack S Elder, MD is a male doctor.