Individual
DR. CARLOS LUIS RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 NORTH OAK AVENUE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 462-3485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13083
WI
207L00000X
Anesthesiology Physician
34-011306
OH
207Q00000X
Family Medicine Physician
34011306
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
34011306
OH
208D00000X
General Practice Physician
34011306
OH
Other
Enumeration date
04/07/2010
Last updated
03/05/2026
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