Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 2901016821 | MI |
NPI | 1114935632 |
---|---|
Provider Name | Paul A Renke |
First Address | Rochester Hills, MI 48309 |
Second Address | Rochester Hills, MI 48309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U82209 | (02) |