Individual provider · Type 1 NPI

Karen Lea Eldevick, MD

Adult Medicine Physician · Marinette, WI

NPI number 1962493718 Active

Practice location

2820 Roosevelt Road
Marinette, WI 54143-3834

Call (715) 735-5225 Map

Fax (715) 735-5388

Mailing address

PO Box 1866
Green Bay, WI 54305-1866

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X64279-20 (WI)
Family Medicine Physician 207Q00000X4301051670 (MI)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

7 other providers at this address

About NPI 1962493718

Karen Lea Eldevick, MD's National Provider Identifier is 1962493718, issued on Nov 1, 2005. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Marinette, WI. The record was last updated on Nov 2, 2018.