Individual
TRUDI A CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-4200
Mailing address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-4200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
013115
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041405
ANTHEM BCBS
ME
05
—
258220099
—
ME
01
—
3068775
CIGNA
ME
01
—
5350237
AETNA
ME
Enumeration date
01/30/2006
Last updated
03/17/2018
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