Individual provider · Type 1 NPI
Martin Paul Richard, MD
Student in an Organized Health Care Education/Training Program · Rice Lake, WI
NPI number
1558034520
Active
Practice location
1700 W Stout St
Rice Lake, WI 54868-5000
Mailing address
300 W Oak St Ste 200
Carbondale, IL 62901-1400
Other practice locations
- 300 W Oak St Ste 200, Carbondale, IL 62901-1400 · (618) 536-6221
- 300 W Oak St, Carbondale, IL 62901-1400 · (618) 536-6621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 01098080A (IN) |
| Family Medicine Physician | 207Q00000X | 78625 (AZ) |
| Family Medicine Physician | 207Q00000X | 036.177378 (IL) |
| Family Medicine Physician | 207Q00000X | 0101286697 (VA) |
| Family Medicine Physician | 207Q00000X | MD492361C (PA) |
| Family Medicine Physician | 207Q00000X | ME177333 (FL) |
| Family Medicine Physician | 207Q00000X | 75901 (TN) |
| Family Medicine Physician | 207Q00000X | W1669 (TX) |
| Family Medicine Physician | 207Q00000X | CDR.0005937 (CO) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 84142-20 (WI) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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Other student in an organized health care education/training program providers in Rice Lake
About NPI 1558034520
Martin Paul Richard, MD's National Provider Identifier is 1558034520, issued on Jul 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rice Lake, WI. The record was last updated on Apr 23, 2026.