Rodrigo B Mata III, MD, SC
Rodrigo B Mata III, MD, SC is an Internal Medicine Physician in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
6123 Green Bay Rd Ste 120Kenosha, WI 53142-2927
Phone: (262) 652-2710
Fax: (262) 652-1370
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 33893 (WI) |
|---|
Record details
| NPI number | 1588847099 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rodrigo Mata — M.D. · (262) 652-2710 |
| NPI enumerated | December 7, 2007 |
| Last updated in NPPES | June 3, 2020 |
| Certification date | June 3, 2020 |
| Mailing address | 6123 Green Bay Rd Ste 120, Kenosha, WI 53142-2927 |
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