Provider Demographics
NPI:1366535908
Name:ELSAESSER, WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:ELSAESSER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:861 SW 78TH AVE
Mailing Address - Street 2:#100B
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3229
Mailing Address - Country:US
Mailing Address - Phone:954-693-0000
Mailing Address - Fax:954-693-0005
Practice Address - Street 1:1409 E. LAKE MEAD BLVD
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:N. LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030
Practice Address - Country:US
Practice Address - Phone:702-657-5512
Practice Address - Fax:702-649-2300
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV9566207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D29397Medicare UPIN