Individual
ROBERT JOSEPH MAKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER OF RCF
Contact information
Practice address
3381 1ST ST, DOE RUN, MO 63637-3155
(573) 760-8601
(573) 246-6052
Mailing address
614 WALMART DR STE 108, FARMINGTON, MO 63640-3315
(479) 756-8601
(573) 246-6052
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
EL-0996-INIT
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1282578
—
MO
Enumeration date
09/05/2017
Last updated
09/05/2017
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