Mary P. Eldridge, M.D.
Family Medicine · Kenosha, WI
UnclaimedM.D.NPI 1063673903
- Primary taxonomy
- 208D00000X
- Enumerated
- 2008-06-23
- Practice location
- Kenosha, WI
- Last NPPES update
- 2015-09-19
State licenses
- WI · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.