Elan Reisin, M.D.
Individual provider Active NPI Plastic Surgery Physician · Franklin, MI
NPI 1013936376 · NPPES record last updated Nov 12, 2013
Key facts
- NPI
- 1013936376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 000000000 (MI)
- Practice address
- 24505 Franklin Farms Dr
Franklin, MI 48025-2216 - Phone
- (202) 997-5007
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000000 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorge H. Reisin, M.D., Facs, PA | Plastic Surgery | Past | Accepting new patients |
Interoperability endpoints
- ereisin58228@direct.hfhs.org
- ereisin@direct.dmc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 000000000 | MI | Yes |
Addresses
Primary practice location
24505 Franklin Farms Dr
Franklin, MI 48025-2216
Mailing address
24505 Franklin Farms Dr
Franklin, MI 48025-2216
Phone (202) 997-5007
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All providers in Franklin, MI · Plastic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.