Individual
ELIBERTO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7908 S 13TH ST, OAK CREEK, WI 53154-2802
(414) 933-8372
Mailing address
7908 S 13TH ST, OAK CREEK, WI 53154-2802
(414) 933-8372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163258
WI
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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