Individual provider · Type 1 NPI

Jack S. Elder, MD

Urology Physician · Detroit, MI

NPI number 1457385072 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 916-2600 Map

Fax (313) 916-9539

Mailing address

1 Ford Pl, 2E
Detroit, MI 48202-3450

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X35-053721 (OH)
Urology Physician 208800000X4301072611 (MI)

Urology Physician: 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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About NPI 1457385072

Jack S. Elder, MD's National Provider Identifier is 1457385072, issued on Jul 10, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Detroit, MI. The record was last updated on Jan 9, 2013.