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Individual

KARLYE NICOLE RODRIGUEZ-WISDOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11040 N STATE RD 77, HAYWARD, WI 54843-3606
(715) 934-4910
(715) 934-4620
Mailing address
11040 N STATE RD 77, HAYWARD, WI 54843-3606
(715) 934-4910
(715) 934-4620

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
58189
MN
207Q00000X
Family Medicine Physician
Primary
66025-20
WI

Other

Enumeration date
04/27/2013
Last updated
01/25/2024
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