Individual
DR. RODRIGO ITABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2745 W LAYTON AVE, SUITE 201, MILWAUKEE, WI 53221-2651
(414) 281-0050
(414) 281-0733
Mailing address
5714 GLADSTONE LN, GREENDALE, WI 53129-1511
(414) 529-3448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20287
WI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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