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.
| 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 |
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