Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Patricia Eldridge, MD

Individual provider General Practice Physician · NPI 1063673903

Dr. Mary Patricia Eldridge, MD is a General Practice Physician in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 75th St Ste #5
Kenosha, WI 53143-1544
Phone: (262) 656-1911
Fax: (888) 316-8458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 54685-20 (WI)

Record details

NPI number1063673903
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 23, 2008
Last updated in NPPESSeptember 19, 2015

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