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Contact Information

GONZALO J RODRIGUEZ, MD
3130 N COUNTY ROAD 25A STE 212
TROY, OH45373
 Phone: 937-335-1660
 Fax: 937-440-4020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GONZALO J RODRIGUEZ · (Male)

NPI Number 1659351229
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2006
Last updated 06/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01079320A
  • MI License # 4301067013
  • OH License # 35.069702
  • IN Medicaid 300007805
  • IN Other 236040248 MEDICARE PTAN
Hospital affiliation(s)
  • ALLEGIANCE HEALTH - (Acute Care)
    205 N EAST AVE
    JACKSON, MI 49201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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