Organization
EDDY D CO MD SC
Active
Organization
EDDY D CO MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY CO MD (PRESIDENT)
(414) 645-0920
Entity
Organization
Contact information
Practice address
3267 S 16TH ST, STE 105, MILWAUKEE, WI 53215-4500
(414) 645-0920
Mailing address
3267 S 16TH ST, STE 105, MILWAUKEE, WI 53215-4500
(414) 645-0920
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19814
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061917005
RAILROAD MEDICARE
WI
05
—
30914600
—
WI
Enumeration date
12/18/2009
Last updated
05/11/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up