Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK S ELDER, MD
ActiveJACK S ELDER, MD is a Urology healthcare provider located in DETROIT, Michigan. NPI 1457385072 is currently active in the NPPES registry. Verify at CMS.
Urology · DETROIT, MI
Registration Details
- NPI Number
- 1457385072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.12385437672 yrs)
- Last Updated
- Jan 9, 2013
- Licenses
-
35-053721 (OH)4301072611 (MI)
Practice Information
- Address
-
2799 W GRAND BLVDDETROIT, MI, 482022608Browse MI providers · Browse ZIP 48202
- Phone
- 3139162600
- Fax
- 3139169539
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| JEFFREY L WEINGARTEN | MD | 1568466258 |
| DR. CONRAD CUTHBERT MAITLAND | MD | 1952379430 |
| J EDSON PONTES | MD | 1285681981 |
| MICHAEL L CHER | MD | 1336187400 |
| YEGAPPAN LAKSHMANAN | M.D. | 1881632388 |
| ISAAC J POWELL | MD | 1154361608 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.