Individual
DR. RICA RODRIGUEZ CANSECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 421-8400
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 892-3773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50896-020
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004466
—
WI
05
—
1538348537
—
WI
Enumeration date
10/26/2007
Last updated
10/02/2023
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