Individual
THOMAS RENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1351 ONTARIO RD, GREEN BAY, WI 54311-8302
(920) 328-1220
Mailing address
1351 ONTARIO RD, GREEN BAY, WI 54311-8302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13799
WI
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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