Individual
DR. WOLFGANG FABIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4220 L ST, OMAHA, NE 68107-1048
(402) 733-4433
(402) 733-1220
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 733-4433
(402) 733-1220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30193
NE
207Q00000X
Family Medicine Physician
7216
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7216
NEBRASKA BOARD OF MEDICINE AND SURGERY-TEP
NE
Enumeration date
01/04/2007
Last updated
07/21/2022
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