Individual
MS. PATRICIA A. EDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-6866
Mailing address
3305 86TH ST, KENOSHA, WI 53142-2573
(262) 942-7003
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
11-177
WI
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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