Individual
FRED RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13452 NORTHLAND DRIVE, BIG RAPIDS, MI 49307
(231) 796-5858
Mailing address
1802 GALLOWAY STREET, EAU CLAIRE, WI 54703
(715) 831-8966
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501004701
MI
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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