NPI 1003826892

Rodrigo Itable, MD

Practitioner Family Medicine Physician Milwaukee, WI

Practice location

Address: 2745 W Layton Ave Suite 201, Milwaukee, WI 53221-2651
Phone: (414) 281-0050
Fax: (414) 281-0733
Mailing address: 5714 Gladstone Ln, Greendale, WI 53129-1511

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 20287 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1003826892
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.