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NPI Profile for KAREN L ELDEVICK in MARINETTE, WI.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1962493718 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 11/01/2005 | |
| Last updated | 11/02/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KAREN L ELDEVICK
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KAREN L ELDEVICK, MD