Organization
MAX R REXROAT, DPM, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX R REXROAT (PODIATRIST CORPORATE PRESIDENT)
(309) 837-3964
Entity
Organization
Contact information
Practice address
437 E GRANT ST, MACOMB, IL 61455
(309) 837-3964
Mailing address
437 E GRANT ST, MACOMB, IL 61455
(309) 837-3964
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
16-002507
IL
Other
Enumeration date
11/04/2006
Last updated
08/22/2020
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