Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAREN LEA ELDEVICK, MD
ActiveKAREN LEA ELDEVICK, MD is a Adolescent Medicine healthcare provider located in MARINETTE, Wisconsin. NPI 1962493718 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · MARINETTE, WI
Registration Details
- NPI Number
- 1962493718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2005 (20.594633438683 yrs)
- Last Updated
- Nov 2, 2018
- Licenses
-
64279-20 (WI)4301051670 (MI)
Practice Information
- Address
-
2820 ROOSEVELT ROADMARINETTE, WI, 541433834Browse WI providers · Browse ZIP 54143
- Phone
- 7157355225
- Fax
- 7157355388
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Family Medicine
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.