Individual
DR. MARY PATRICIA ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 75TH ST, SUITE #5, KENOSHA, WI 53143-1544
(262) 656-1911
(888) 316-8458
Mailing address
1400 75TH ST, SUITE #5, KENOSHA, WI 53143-1544
(262) 656-1911
(888) 316-8458
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
54685-20
WI
Other
Enumeration date
06/23/2008
Last updated
09/19/2015
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