Individual
DR. MARK S EDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
404 EUREKA ST, RIPON, WI 54971-1192
(920) 748-3644
(920) 748-3642
Mailing address
404 EUREKA ST, RIPON, WI 54971-1192
(920) 748-3644
(920) 748-3642
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
3441
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38901800
—
WI
01
—
391431452013
BLUE CROSS
WI
Enumeration date
01/30/2006
Last updated
03/07/2011
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