Individual
ANTHONY XAVIER RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 BROADWAY, GARY, IN 46408-1101
(219) 980-6550
Mailing address
2080 REED CT APT 3A, MERRILLVILLE, IN 46410-5180
(312) 581-2564
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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