DEXTER R REBANCOS

CUDAHY, WI
NPI1801974399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  33762-020)
Enumeration Date2006-11-01
Last Update Date2024-09-24
Business Address
DEXTER R REBANCOS MD
5900 S. LAKE DRIVE
CUDAHY, WI 53110-3171
Phone number: 414-489-4190
Mailing Address
DEXTER R REBANCOS MD
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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