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NPI Verification

National Provider Identifier: 1457385072

Jack S Elder, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Primary

Urology

Code: 208800000X

Practice Address

1 FORD PL

DETROIT, MI 482023450

Phone: 313-916-2600

NPI Enumeration Date

July 10, 2006

NPI Number

1457385072

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry