Rodriguez Unda, Nelson Agustin

Rodriguez Unda, Nelson Agustin is an individual health care provider with primary practice located at 1155 N Mayfair Rd Ste T2600 , Wauwatosa WI 53226-3464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Rodriguez Unda, Nelson Agustin can be contacted via phone (414) 955-1000.

Contact Information

Primary practice address
1155 N Mayfair Rd Ste T2600 Wauwatosa WI 53226-3464
Fax: (414) 955-0183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 76481 Wisconsin

Profile Details

NPI number 1346620010
LBN Legal business name Rodriguez Unda, Nelson Agustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2015
Last updated Jul 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346620010 NPPES
Wisconsin MEDICAID 1346620010

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