Most Relevant Information
Provider Data
| NPI Number: | 1003826892 |
| Provider Name: | RODRIGO ITABLE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 20287 |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2745 W LAYTON AVE
SUITE 201
MILWAUKEE
WI
532212651
Practice Location Phone/Fax
| Phone: | 4142810050 |
| Fax: | 4142810733 |
Provider Mailing Location
5714 GLADSTONE LN
GREENDALE
WI
531291511
Provider Mailing Phone/Fax
| Phone: | 4145293448 |
| Fax: |
Suggested EMR
Family Practice EMR