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Organization

MAHIR D ELDER MD PC

Active
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Organization

MAHIR D ELDER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAHIR D ELDER M.D. (PRESIDENT)
(313) 993-7777
Entity
Organization

Contact information

Practice address
4160 JOHN R ST STE 510, DETROIT, MI 48201-2021
(313) 999-2222
(313) 993-2563
Mailing address
4160 JOHN R ST STE 510, DETROIT, MI 48201-2021
(313) 993-7777
(313) 993-2563

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME073824
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105174942
MI
01
I60238
UPIN
MI
Enumeration date
11/10/2009
Last updated
11/12/2009
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