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Individual

MR. CRAIG ELSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
100 HIGHLINE DR, EAST WENATCHEE, WA 98802-5341
(509) 884-0614
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10003376
WA
363AM0700X
Medical Physician Assistant
Primary
PA10003376
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427025857
WA
01
315777
L&I POST 7/21/13
WA
01
P01256420
RR MEDICARE
WA
Enumeration date
03/03/2006
Last updated
06/15/2022
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