Individual
DR. BENJAMIN AUSTIN RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1177 QUAIL CT STE 103, PEWAUKEE, WI 53072-3768
(414) 429-9707
Mailing address
W225N3799 LONG VALLEY CT, PEWAUKEE, WI 53072-4184
(414) 429-9707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5611-12
WI
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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