Individual
DR. CHARLES MAX RESKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5800 NW BARRY RD, SUITE 300, KANSAS CITY, MO 64154-1493
(816) 741-6820
(816) 741-5315
Mailing address
5800 NW BARRY RD, SUITE 300, KANSAS CITY, MO 64154-1493
(816) 741-6820
(816) 741-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOR6656
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04993010
BLUE CROSS BLUE SHIELD
MO
Enumeration date
09/28/2005
Last updated
07/08/2007
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