Provider Demographics
NPI:1952680704
Name:SAUNDERS, ELKE M (CPM, CDM)
Entity Type:Individual
Prefix:
First Name:ELKE
Middle Name:M
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CPM, CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W HILLCREST ST
Mailing Address - Street 2:
Mailing Address - City:KODIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99615-6005
Mailing Address - Country:US
Mailing Address - Phone:907-244-9295
Mailing Address - Fax:888-887-3337
Practice Address - Street 1:211 W HILLCREST ST
Practice Address - Street 2:
Practice Address - City:KODIAK
Practice Address - State:AK
Practice Address - Zip Code:99615-6005
Practice Address - Country:US
Practice Address - Phone:907-244-9295
Practice Address - Fax:888-887-3337
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife