Provider Demographics
NPI:1740284330
Name:REXFORD, TODD W (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:W
Last Name:REXFORD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1361 FOREST PARK RD
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4638
Mailing Address - Country:US
Mailing Address - Phone:231-638-1414
Mailing Address - Fax:231-216-7630
Practice Address - Street 1:1450 FARR RD
Practice Address - Street 2:STE 2000
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-8797
Practice Address - Country:US
Practice Address - Phone:231-638-1414
Practice Address - Fax:231-216-7630
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2021-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MITR054549207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104556404Medicaid
F10100Medicare UPIN