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Individual
MICHAEL ELSEN
Active
Individual
MICHAEL ELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213000319
IL
224P00000X
Prosthetist
Primary
211000291
IL
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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