Individual
WILLIAM C ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639
(701) 567-4561
(701) 567-6301
Mailing address
1100 HIGHWAY 12, HETTINGER, ND 58639-7533
(701) 567-4561
(701) 567-6301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3444
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10771
ND BLUECROSS/BLUE SHIELD
ND
05
—
12816
—
ND
05
—
3018140
—
WA
01
—
33265
SIOUX VALLEY
ND
05
—
7776060
—
SD
Enumeration date
10/03/2006
Last updated
07/08/2007
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