Elan Reisin
Surgeon
24505 Franklin Farms Dr
Franklin
, Michigan 48025-2216
(202) 997-5007
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About
Features
Specialties
- Surgeon
Languages spoken
- English
Location
First Address
- Elan Reisin
- 24505 Franklin Farms Dr
- Franklin, MI
- Zip : 48025-2216
- Phone : (202) 997-5007
Second Address
- Elan Reisin
- 24505 Franklin Farms Dr
- Franklin, MI
- Zip : 48025-2216
- Phone : (202) 997-5007
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 000000000 | MI |
| Y | 208600000X | Surgeon | 000000000 | MI |
National Provider Identifier
| NPI | 1013936376 |
|---|---|
| Provider Name | Elan Reisin |
| First Address | Franklin, MI 48025-2216 |
| Second Address | Franklin, MI 48025-2216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 12/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.