Provider Demographics
NPI:1396710489
Name:ELSNER, HEINZ J (MD)
Entity type:Individual
Prefix:
First Name:HEINZ
Middle Name:J
Last Name:ELSNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1450 S DOBSON RD
Mailing Address - Street 2:A-300
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4712
Mailing Address - Country:US
Mailing Address - Phone:480-964-3884
Mailing Address - Fax:480-890-0011
Practice Address - Street 1:1450 S DOBSON RD
Practice Address - Street 2:A-300
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4712
Practice Address - Country:US
Practice Address - Phone:480-964-3884
Practice Address - Fax:480-890-0011
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ10665208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE38568Medicare UPIN