Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY PATRICIA ELDRIDGE, M.D.
Active Sole ProprietorDR. MARY PATRICIA ELDRIDGE, M.D. is a General Practice healthcare provider located in KENOSHA, Wisconsin. NPI 1063673903 is currently active in the NPPES registry. Verify at CMS.
General Practice · KENOSHA, WI
Registration Details
- NPI Number
- 1063673903
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2008 (18.118676433141 yrs)
- Last Updated
- Sep 19, 2015
- License
-
54685-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 75TH STSUITE #5KENOSHA, WI, 531431544Browse WI providers · Browse ZIP 53143
- Phone
- 2626561911
- Fax
- 8883168458
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.