Blaine Elsenraat, MPT

NPI 1699836106 · on the registry since 2006

Practice

Address: 1212 Weber Rd
Farmington, MO 63640
Phone: (573) 701-7237
Organisation at this address: Farmington Clinic Company Llc
Mineral Area Laboratories Llc
Farmington Clinic Company Llc
Farmington Emergency Group Llc
Farmington Physician Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri