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Rodrigo A Mata JR., MD
Family Medicine Physician in Kenosha, Wisconsin
NPI 1104127372

Rodrigo A Mata JR. is a Family Medicine Physician based in Kenosha, WI. Rodrigo A Mata JR. practices in Kenosha, WI and has the professional credentials of MD. The NPI Number for Rodrigo A Mata JR. is 1104127372 and holds a License No. 22023-20 (Wisconsin).

The current practice location address for Rodrigo A Mata JR. is 6123 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-652-6995 and via fax at 262-652-1370.

Location: 6123 Green Bay Rd, Kenosha, WI, 53142-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104127372
Provider Name
Rodrigo A Mata JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6123 Green Bay Rd, Kenosha, WI, 53142-2927
Phone Number
262-652-6995
Fax Number
262-652-1370
Provider Enumeration Date
11/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6123 Green Bay Rd
City
Kenosha
State
Wisconsin
Zip
53142-2927
Phone Number
262-652-6995
Fax Number
262-652-1370
person
Provider Business Mailing Address Details
Address
6123 Green Bay Rd
City
Kenosha
State
Wisconsin
Zip
53142-2927
Phone Number
262-652-6995
Fax Number
262-652-1370
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
22023-20 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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