Provider Demographics
NPI:1639662265
Name:FINCK, ALEXANDER CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:CHARLES
Last Name:FINCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 MEDICAL PARK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:MO
Mailing Address - Zip Code:65265-3753
Mailing Address - Country:US
Mailing Address - Phone:573-200-6078
Mailing Address - Fax:
Practice Address - Street 1:809 MEDICAL PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:MO
Practice Address - Zip Code:65265-3753
Practice Address - Country:US
Practice Address - Phone:573-200-6078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020028436207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine