Individual
MITCHELL R ELGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
72951-21
WI
208M00000X
Hospitalist Physician
Primary
72951-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101834
—
WI
Enumeration date
03/30/2016
Last updated
12/02/2021
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