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Individual
ELIZABETH L RIDGE
Active
Individual
ELIZABETH L RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84415-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/30/2021
Last updated
06/10/2026
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