Individual
MARK A ELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W LINCOLN AVE, RADIOLOGY, WEST ALLIS, WI 53227-2409
(414) 328-6440
Mailing address
2640 ALMESBURY AVE, BROOKFIELD, WI 53045-3903
(262) 784-6078
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25922
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30793100
—
WI
Enumeration date
06/12/2006
Last updated
07/08/2007
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