Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 79 | ND |
NPI | 1043574460 |
---|---|
Provider Name | Rachael Renschler |
First Address | Jamestown, ND 58401-6201 |
Second Address | Jamestown, ND 58401-6201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2012 |
Last Update Date | 24/01/2017 |