Dr. Rodrigo Itable
Family Doctor
2745 W Layton Ave Suite 201
Milwaukee
, Wisconsin 53221-2651
Dr. Rodrigo Itable
Family Doctor
2745 W Layton Ave Suite 201
Milwaukee
, Wisconsin 53221-2651
(414) 529-3448
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Rodrigo Itable
- 5714 Gladstone Ln
- Greendale, WI
- Zip : 53129-1511
- Phone : (414) 529-3448
Second Address
- Dr. Rodrigo Itable
- 2745 W Layton Ave Suite 201
- Milwaukee, WI
- Zip : 53221-2651
- Fax : (414) 281-0733
- Phone : (414) 281-0050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 20287 | WI |
National Provider Identifier
| NPI | 1003826892 |
|---|---|
| Provider Name | Dr. Rodrigo Itable |
| First Address | Greendale, WI 53129-1511 |
| Second Address | Milwaukee, WI 53221-2651 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.