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Rodrigo Mata, M.D
NPI 1104127372 · on the registry since 2010 · sole proprietor
Practice
- Address
- 6123 Green Bay Rd
Suite 120
Kenosha, WI 53142 - Phone
- (262) 652-6995
- Fax
- (262) 652-1370
- Organisation at this address
- Mb Consultants Llc
Patel Foot & Ankle Llc
David Klimisch Lpc Inc
Kenosha Pain Center Llc
Great Lakes Surgery LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin