RODRIGO A MATA

KENOSHA, WI
NPI1104127372
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  22023-20)
Enumeration Date2010-11-04
Last Update Date2010-11-04
Business Address
-- RODRIGO A MATA M.D.
6123 GREEN BAY RD SUITE 120
KENOSHA, WI 53142-2927
Phone number: 262-652-6995
Mailing Address
-- RODRIGO A MATA M.D.
6123 GREEN BAY RD SUITE 120
KENOSHA, WI 53142-2927
Phone number: 262-652-6995
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