Jeffrey E Rodzak, MD
Obstetrics & Gynecology, Gynecology in Madison, WI. Individual provider (NPI-1).
NPI number1104828151
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1104828151
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey E Rodzak
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2005
- Certification date
- Jul 12, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 43863 | WI | Yes |
| 207V00000X | Obstetrics & Gynecology | 43863 | WI |
Practice location
137 E Wilson StMadison, WI 53703-3378
Phone 608-263-6240
Mailing address
137 E Wilson StMadison, WI 53703-3378
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