RODRIGO B MATA III, M.D., S.C.

KENOSHA, WI
NPI1588847099
Entity TypeOrganization
Authorized ContactRODRIGO B MATA
M.D.
262-652-2710
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  33893)
Enumeration Date2007-12-07
Last Update Date2020-06-03
Business Address
RODRIGO B MATA III, M.D., S.C.
6123 GREEN BAY RD STE 120
KENOSHA, WI 53142-2927
Phone number: 262-652-2710
Mailing Address
RODRIGO B MATA III, M.D., S.C.
6123 GREEN BAY RD STE 120
KENOSHA, WI 53142-2927
Phone number: 262-652-2710
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