Wilson Rodriguez, IDC

NPI #1174884340 in Cleveland, Ohio

Provider Information

NPI Number: 1174884340
Entity Type: Individual
Name: Wilson Rodriguez, IDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Jun 5, 2012
Last Updated: Jun 5, 2012

Practice Location

Address: 19165 PURITAS AVE
City: Cleveland
State: Ohio
ZIP Code: 44135-1031
Phone: (216) 849-7987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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