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Jack S Elder, MD
Urology Physician in Detroit, Michigan
NPI 1457385072

Jack S Elder is a Urology Physician based in Detroit, MI. Jack S Elder practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Jack S Elder is 1457385072 and holds a License No. 35-053721 (Michigan).

The current practice location address for Jack S Elder is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-916-2600 and via fax at 313-916-9539. You can also correspond with Jack S Elder through the mailing address at 1 FORD PL, DETROIT, MI - 48202-3450 (mailing address contact number: 313-916-2600).

Location: 2799 W Grand Blvd, Detroit, MI, 48202-3450
person
Provider Profile Details
NPI Number
1457385072
Provider Name
Jack S Elder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2799 W Grand Blvd, Detroit, MI, 48202-3450
Phone Number
313-916-2600
Fax Number
313-916-9539
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020H277290 01 MI BCBS
1900370 01 OH UHC
0633587 05 OH
000000026163 01 OH ANTHEM
1396817714 01 MI GROUP NPI
001953975002 05 PA
5196618 05 MI
P00388789 01 OH RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-2600
Fax Number
313-916-9539
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-2600
Fax Number
313-916-9539
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
35-053721 (Ohio)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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