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Individual

DR. JOEY LEE REXINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 2010, FARGO, ND 58122-2484

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51433
MN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
15547
ND

Other

Enumeration date
04/13/2007
Last updated
06/24/2019
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