Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 51406 | WI |
N | 2081P2900X | Pain Medicine | 51406 | WI |
NPI | 1235226143 |
---|---|
Provider Name | Dr. Juan A. Albino-Rodriguez |
First Address | Neenah, WI 54956-1993 |
Second Address | Neenah, WI 54956-1993 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 23/02/2012 |