Individual
ABRAHAM R RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2220
(608) 363-7368
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2220
(608) 363-7368
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-097612
IL
208000000X
Pediatrics Physician
Primary
38729020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326155870
—
WI
Enumeration date
08/23/2006
Last updated
10/20/2011
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