Individual
DR. MICHAEL KENNETH REXINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
32 MAIN ST W, MAYVILLE, ND 58257-1314
(701) 786-2666
(701) 786-2292
Mailing address
32 MAIN ST W, MAYVILLE, ND 58257-1314
(701) 786-2666
(701) 786-2292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
575
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60602
—
ND
Enumeration date
08/15/2006
Last updated
03/18/2021
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