Individual
DR. MICHAEL WAYNE RENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-3220
(423) 844-3114
Mailing address
2175 HIGHWAY 75, STE 4, BLOUNTVILLE, TN 37617-5861
(423) 323-5290
(423) 323-5653
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
55024
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MMD.32930 TL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915766
—
NC
01
—
80030488
SELECT HEALTH
SC
01
—
9341361
AETNA
SC
01
—
P00911765
RAILROAD MEDICARE
SC
Enumeration date
09/13/2007
Last updated
07/21/2022
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