Individual
DR. ELSA BOAYES HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
W9071 FOREST DRIVE, PLYMOUTH, WI 53073-0031
(920) 526-3044
(920) 526-3819
Mailing address
22 RIDGEWOOD CT, FOND DU LAC, WI 54935-7623
(920) 921-3324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19343
WI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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