Provider Demographics
NPI:1629218425
Name:RICE, PAUL R (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:R
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5345 QUAAS DR
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-8719
Mailing Address - Country:US
Mailing Address - Phone:262-338-8826
Mailing Address - Fax:262-334-3237
Practice Address - Street 1:5345 QUAAS DR
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-8719
Practice Address - Country:US
Practice Address - Phone:262-338-8826
Practice Address - Fax:262-334-3237
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI18021207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology