Individual provider · Type 1 NPI

Mary Patricia Eldridge, MD

General Practice Physician · Kenosha, WI

NPI number 1063673903 Active

Practice location

1400 75th St, Suite #5
Kenosha, WI 53143-1544

Call (262) 656-1911 Map

Fax (888) 316-8458

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X54685-20 (WI)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

16 other providers at this address

About NPI 1063673903

Mary Patricia Eldridge, MD's National Provider Identifier is 1063673903, issued on Jun 23, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kenosha, WI. The record was last updated on Sep 19, 2015.