Individual
MR. ELIJAH I HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 767-6020
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3921
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164962833
—
WI
Enumeration date
03/01/2017
Last updated
01/30/2023
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